Id Consultants Pa

NPI 1205815701 - Internal Medicine - 207RI0200X

NPI Details
NPI 1205815701
Enumeration Date 01/12/2006
Last Updated 09/17/2013
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name LEWIS H LEWIS
Position PRESIDENT
Phone (704) 331-9669
Fax (704) 688-0035
Practice Location
4539 HEDGEMORE DRIVE
SUITE 100
CHARLOTTE NC, 28209, US
Phone (704) 331-9669
Fax (704) 688-0035
Business Location
4539 HEDGEMORE DRIVE
SUITE 100
CHARLOTTE NC, 28209, US
Phone (704) 331-9669
Fax (704) 688-0035
Toxanomy
Taxonomy Code 207RI0200X
License State
License Number
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According to our database, Id Consultants Pa NPI is 1205815701, taxonomy code is 207RI0200X Id Consultants Pa physically located at 4539 Hedgemore Drive, Charlotte NC, 28209. NPI Number 1033115704 has the healthcare provider type.

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1205815701 NPI number is provided on an as is basis without warranty of any kind. 1205815701 is maintained by the National Plan & Provider Enumeration System. The contents of Id Consultants Pa are for informational purposes only.