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Individual

GREGORY LEW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
530 CAUSEWAY DR, STE. B-3, WRIGHTSVILLE BEACH, NC 28480-1959
(910) 509-2810
Mailing address
6417 CHALFONT CIR, WILMINGTON, NC 28405-4195

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2859
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12537
BCBS OF NC
NC
05
7210895
NC
01
P00283229
RAILROAD MEDICARE
NC
Enumeration date
10/12/2006
Last updated
07/08/2007
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