MEDICARE: DR. JOSEPH EURANUS FEWELL JR. M.D.

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	208200000X	Plastic Surgery Physician	27911	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356395479
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH EURANUS FEWELL JR. M.D.

Provider Business Mailing Address
First Line	:	50 13TH AVE NE
Second Line	:	SUITE 2-B
City	:	HICKORY
State	:	NC
Zip	:	28601-3748
Country	:	US
Telephone Number	:	828-322-8380
Fax Number	:	828-328-4967

Provider Business Practice Location Address
First Line	:	50 13TH AVE NE
Second Line	:	SUITE 2-B
City	:	HICKORY
State	:	NC
Zip	:	28601-3748
Country	:	US
Telephone Number	:	828-322-8380
Fax Number	:	828-328-4967

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

Provider Enumeration Date	:	05/22/2006
Last Update Date	:	11/12/2008

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Directions to “ DR. JOSEPH EURANUS FEWELL JR. M.D.” Practice Location

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