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Individual

ANDREA LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1100 E WENDOVER AVE, GREENSBORO, NC 27405-6713
(225) 678-7822
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-3202

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-05907
NC

Other

Enumeration date
08/26/2015
Last updated
09/29/2015
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