Individual
KEIA HEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 HOSPITAL DR, MONROE, NC 28112-6000
(704) 283-3100
Mailing address
PO BOX 277221, ATLANTA, GA 30384-7221
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
294211
NY
207P00000X
Emergency Medicine Physician
PENDING
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
BCBS PROVIDER NUMBER
NC
05
—
PENDING
—
NC
Enumeration date
07/17/2006
Last updated
07/24/2018
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