Individual
JOSEPH LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
211 HIGHWAY 17 N STE 201, NORTH MYRTLE BEACH, SC 29582-8107
(843) 489-0788
Mailing address
1997 ROSELLA LN, CONWAY, SC 29526-8224
(843) 424-9199
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7436
SC
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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