Charles Lee Ewell in Wilmington - Addiction Medicine

Charles Lee Ewell - NPI 1710938535

Charles Lee Ewell is a Addiction Medicine in Wilmington, North Carolina. Charles Lee Ewell practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Charles Lee Ewell is 1710938535. The last update date is 2023-04-21.

Charles Lee Ewell's current location address is 615 Shipyard Blvd, Wilmington, North Carolina. You can contact this provider via phone number 9103430145 and fax number 9103415779. The mailing address for Charles Lee Ewell is 615 Shipyard Blvd, Wilmington, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Charles Lee Ewell
Address 615 Shipyard Blvd, Wilmington, North Carolina
Phone Number 9103430145
Fax Number 9103415779
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1710938535
Provider Enumeration Date 2006-05-15
Last Updated Date 2023-04-21

Provider Mailing Address Detail

Address 615 Shipyard Blvd
City Wilmington
State North Carolina (NC)
Post Code 284126431
Phone Number 9103430145
Fax Number 9103415779

Provider's Primary Taxonomy Detail

Speciality Addiction Medicine
Taxonomy 207Ra0401X
Licence No 30982
Definition:
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualification

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
89136AP NC --
136AP NC BCBS
P000950685 NC RAILROAD MEDICARE

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FAQs about Charles Lee Ewell

What is the unique identification code assigned to Charles Lee Ewell by the Centers for Medicare & Medicaid Services?

The Charles Lee Ewell has been issued the NPI (National Provider Identifier) 1710938535. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Charles Lee Ewell's facilities are geographically located?

The facilities of Charles Lee Ewell are physically situated at the following location: 615 Shipyard Blvd, Wilmington, NC, 284126431.

What is Charles Lee Ewell's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Charles Lee Ewell is Addiction Medicine, and the corresponding taxonomy classification code for this specialized field is 207Ra0401X.

On what date did Charles Lee Ewell receive its 1710938535 assignment from the Centers for Medicare & Medicaid Services?

The Charles Lee Ewell was assigned its 1710938535 on 2006-05-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Charles Lee Ewell last refreshed?

The information related to the Charles Lee Ewell, including its address, specialty, and other relevant details, was last updated on 2023-04-21.

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