Dr. Reginald S. Ewing III, MD
Pediatrics in Camp Lejeune, NC. Individual provider (NPI-1).
NPI number1669439519
StatusActive
Last updated in NPPESMar 4, 2022
Details
- NPI
- 1669439519
- Entity type
- Individual (NPI-1)
- Name
- Dr. Reginald S. Ewing III
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 26, 2006
- Certification date
- Mar 4, 2022
- Last updated
- Mar 4, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 35082825 | OH | Yes |
| 2080A0000X | Pediatrics, Adolescent Medicine | 35.082825 | OH |
Practice location
100 Brewster BlvdCamp Lejeune, NC 28547-2575
Phone 910-450-4007
Mailing address
100 Brewster BlvdCamp Lejeune, NC 28547-2575
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