Individual
ANGELA SUZANNA LEWIS AMICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
6750 WILKINSON BLVD, BELMONT, NC 28012
(866) 389-2727
Mailing address
1740 HIGHWAY 160 W, FORT MILL, SC 29708-8025
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
22966
SC
363LF0000X
Family Nurse Practitioner
Primary
5012233
NC
Other
Enumeration date
09/10/2019
Last updated
09/13/2023
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