Provider Demographics
NPI:1043228836
Name:LEWIS, DEQUINCY ANDREW (MD)
Entity Type:Individual
Prefix:DR
First Name:DEQUINCY
Middle Name:ANDREW
Last Name:LEWIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 14878
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27415-4878
Mailing Address - Country:US
Mailing Address - Phone:336-547-1877
Mailing Address - Fax:
Practice Address - Street 1:713 S FAYETTEVILLE ST
Practice Address - Street 2:SUITE B
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203-6405
Practice Address - Country:US
Practice Address - Phone:336-626-0033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200601123207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology