Healthcare Provider Details

I. General information

NPI: 1487784898
Provider Name (Legal Business Name): NEWBORN ASSOCIATES P A
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2007
Last Update Date: 09/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 RIVER BEND PL STE C
FLOWOOD MS
39232-7618
US

IV. Provider business mailing address

PO BOX 320039
FLOWOOD MS
39232-0039
US

V. Phone/Fax

Practice location:
  • Phone: 601-957-7345
  • Fax: 769-251-5429
Mailing address:
  • Phone: 601-981-5887
  • Fax: 769-251-5429

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: SARAH BUFFINGTON
Title or Position: PRACTICE MANAGER
Credential:
Phone: 601-957-7345