Organization
NC WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BECKY LEWTER MD (DOCTOR)
(252) 209-0489
Entity
Organization
Contact information
Practice address
511 DR MARTIN LUTHER KING JR DR N, AHOSKIE, NC 27910-7615
(252) 209-0489
Mailing address
511 DR MARTIN LUTHER KING JR DR N, AHOSKIE, NC 27910-7615
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
814002694
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81-4002694
—
NC
Enumeration date
09/30/2016
Last updated
09/30/2016
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