Individual
DR. PETER A EWEJE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4 OFFICE PARK DR, JACKSONVILLE, NC 28546-7325
(910) 353-6158
(910) 353-7257
Mailing address
PO BOX 12114, JACKSONVILLE, NC 28546-2114
(910) 353-6158
(910) 353-7257
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
00941
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10612
BCBS
NC
05
—
8910612
—
NC
Enumeration date
06/18/2006
Last updated
04/11/2011
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