Doctor Name: | ERIC E NEWMAN |
NPI Number: | 1679707301 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA |
License Number: | |
Business Practice Address: | 86 Wren St Barnwell, SC - 298121529 |
Business Phone Number: | 8032595762 |
Business Fax Number: | 8032593050 |
Mailing Address: | Po Box 3726, AUGUSTA |
State: | GA |
Postal Code: | 309143726 |
Phone Number: | 7068639595 |
Fax Number: | 7068607124 |
NPI Enumeration Date: | 05/09/2009 |
NPI Last Update Date: | 09/26/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |