Individual
CHARLES LEE EWELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
(910) 343-0145
(910) 341-5779
Mailing address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
(910) 343-0145
(910) 341-5779
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
30982
NC
207RA0401X
Addiction Medicine (Internal Medicine) Physician
30982
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
136AP
BCBS
NC
05
—
89136AP
—
NC
01
—
P000950685
RAILROAD MEDICARE
NC
Enumeration date
05/15/2006
Last updated
04/21/2023
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