MEDICARE: CHARLES LEE EWELL JR. 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	207RA0401X	Addiction Medicine (Internal Medicine) Physician	30982	NC
2	207L00000X	Anesthesiology Physician	30982	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P000950685	OTHER	NC	RAILROAD MEDICARE

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
2	136AP	OTHER	NC	BCBS

General Provider Information

NPI Number	:	1710938535
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLES LEE EWELL JR. MD

Provider Business Mailing Address
First Line	:	615 SHIPYARD BLVD
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28412-6431
Country	:	US
Telephone Number	:	910-343-0145
Fax Number	:	910-341-5779

Provider Business Practice Location Address
First Line	:	615 SHIPYARD BLVD
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28412-6431
Country	:	US
Telephone Number	:	910-343-0145
Fax Number	:	910-341-5779

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

Provider Enumeration Date	:	05/15/2006
Last Update Date	:	04/21/2023

Similar Medicare Providers

1720366610 — BONNY REID MSW, LCSWA
Practice Location Address:

615 SHIPYARD BLVD
WILMINGTON, NC
28412-6431

Practice Phone: 910-343-0145
Practice Fax:

1154190395 — DENIA AGUILAR HUNTLEY
Practice Location Address:

615 SHIPYARD BLVD
WILMINGTON, NC
28412-6431

Practice Phone: 910-343-0145
Practice Fax:

1346195823 — ROUDY SAYAH
Practice Location Address:

615 SHIPYARD BLVD STE P
WILMINGTON, NC
28412-6431

Practice Phone: 910-530-6786
Practice Fax: 910-530-6786

1447254438 — ELIZABETH A DEATON PNP
Practice Location Address:

615 SHIPYARD BLVD
WILMINGTON, NC
28412-6431

Practice Phone: 910-343-0145
Practice Fax: 910-341-5779

1396788287 — ANN HARMON LYNCH PA
Practice Location Address:

615 SHIPYARD BLVD
WILMINGTON, NC
28412-6431

Practice Phone: 910-343-0145
Practice Fax:

1548296767 — DR. DARREL R. FOLAND D.C.
Practice Location Address:

609 SHIPYARD BLVD , SUITE 108
WILMINGTON, NC
28412-6431

Practice Phone: 910-313-6959
Practice Fax:

Directions to “ CHARLES LEE EWELL JR. MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.