Individual
MS. BEVERLY ANN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
983 US HIGHWAY 64 E, PLYMOUTH, NC 27962-9216
(252) 793-1010
(252) 793-4113
Mailing address
PO BOX 884, 405 MCCASKEY RD, WILLIAMSTON, NC 27892
(252) 792-6071
(252) 792-0889
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26559
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0185M51791
BLUE CROSS
NC
05
—
8951791
—
NC
Enumeration date
01/31/2006
Last updated
07/30/2012
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