| Bryan D Lewis Pa-c Pllc | |
|
2530 Meridian Pkwy Ste 300 Durham NC 27713-5273 | |
| (919) 886-9158 | |
| Not Available |
| Full Name | Bryan D Lewis Pa-c Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2530 Meridian Pkwy Ste 300, Durham, North Carolina |
| Authorized Official Name and Position | Bryan Daivd Lewis (OWNER) |
| Authorized Official Contact | 9198869158 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan D Lewis Pa-c Pllc 115 Wenonah Way Durham NC 27713-2461 Ph: (919) 886-9158 | Bryan D Lewis Pa-c Pllc 2530 Meridian Pkwy Ste 300 Durham NC 27713-5273 Ph: (919) 886-9158 |
| NPI Number | 1396482550 |
|---|---|
| Provider Enumeration Date | 05/18/2022 |
| Last Update Date | 05/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396482550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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