Individual
CLIFFORD T. LEWIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1960 S 16TH ST, WILMINGTON, NC 28401-6676
(910) 343-9991
(910) 343-8448
Mailing address
PO BOX 602484, CHARLOTTE, NC 28260-2484
(910) 343-9991
(910) 343-8448
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15518
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700826781
—
NC
05
—
8951789
—
NC
Enumeration date
06/07/2006
Last updated
05/29/2014
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