Individual
CHARLES ANDREW LEWIS II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
102 W MAIN ST, WALLACE, NC 28466-2902
(910) 659-3816
Mailing address
102 W MAIN ST, WALLACE, NC 28466-2902
(910) 659-3816
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02478
NC
208D00000X
General Practice Physician
Primary
02478
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31468
—
NC
01
—
591452
PHYSICIAN IN TRAINING (RESIDENT)
TX
Enumeration date
03/26/2015
Last updated
01/27/2026
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