Provider Demographics
NPI:1184620593
Name:DEW, JOHN ALBERT JR (M D)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:ALBERT
Last Name:DEW
Suffix:JR
Gender:M
Credentials:M D
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Mailing Address - Street 1:321 MULBERRY ST SW
Mailing Address - Street 2:CALDWELL ACUTE CARE SPECIALISTS
Mailing Address - City:LENOIR
Mailing Address - State:NC
Mailing Address - Zip Code:28645-5720
Mailing Address - Country:US
Mailing Address - Phone:828-757-5504
Mailing Address - Fax:828-757-5501
Practice Address - Street 1:321 MULBERRY ST SW
Practice Address - Street 2:CALDWELL ACUTE CARE SPECIALISTS
Practice Address - City:LENOIR
Practice Address - State:NC
Practice Address - Zip Code:28645-5720
Practice Address - Country:US
Practice Address - Phone:828-757-5504
Practice Address - Fax:828-757-5501
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2021-03-18
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Provider Licenses
StateLicense IDTaxonomies
NC33984207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8928388Medicaid
2158842AMedicare PIN
NCE81545Medicare UPIN