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Individual

DR. REGINALD S. EWING III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(910) 450-4007
Mailing address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35082825
OH
2080A0000X
Pediatric Adolescent Medicine Physician
35.082825
OH

Other

Enumeration date
04/26/2006
Last updated
03/04/2022
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