Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 200601123 | NC |
NPI | 1043228836 |
---|---|
Provider Name | Dr. Dequincy Andrew Lewis |
First Address | Greensboro, NC 27415-4878 |
Second Address | Asheboro, NC 27203-6405 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2006 |
Last Update Date | 08/07/2007 |