Individual
JOHN DAVID HEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3200 NORTHLINE AVE, SUITE 200, GREENSBORO, NC 27408-7616
(336) 545-5000
(336) 545-5020
Mailing address
3200 NORTHLINE AVE, SUITE 200, GREENSBORO, NC 27408-7616
(336) 545-5000
(336) 545-5020
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
200001387
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000-01387
NCMB LICENSE
NC
01
—
NC8059A
MEDICARE PTAN
NC
Enumeration date
02/17/2006
Last updated
10/26/2012
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