MEDICARE: STEVEN PHILIP DEWEES MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	46966	TN
2	282NC0060X	Critical Access Hospital	17340	NC
3	207R00000X	Internal Medicine Physician	17340	NC

General Provider Information

NPI Number	:	1164580775
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN PHILIP DEWEES MD

Provider Business Mailing Address
First Line	:	1130 GODWIN DR
Second Line	:
City	:	WILLIAMSTON
State	:	NC
Zip	:	27892-6828
Country	:	US
Telephone Number	:	252-789-0401
Fax Number	:

Provider Business Practice Location Address
First Line	:	1130 GODWIN DR
Second Line	:
City	:	WILLIAMSTON
State	:	NC
Zip	:	27892
Country	:	US
Telephone Number	:	252-789-0401
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/05/2006
Last Update Date	:	07/26/2018

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