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Individual

PHILIP LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, RD, CSSD, CSCS

Contact information

Practice address
2817 ROCK MERRITT AVE, FORT BRAGG, NC 28310-0001
(910) 907-8707
Mailing address
2817 ROCK MERRITT AVE, FORT BRAGG, NC 28310-0001
(910) 907-8707

Taxonomy

Speciality
Code
Description
License number
State
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
Primary
86045663
OR

Other

Enumeration date
03/19/2021
Last updated
03/05/2026
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