Healthcare Provider Details

I. General information

NPI: 1700984010
Provider Name (Legal Business Name): SUSAN M. NEWMAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 01/19/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1926 ALCOA HWY STE 410
KNOXVILLE TN
37920-1545
US

IV. Provider business mailing address

PO BOX 440509
NASHVILLE TN
37244-0509
US

V. Phone/Fax

Practice location:
  • Phone: 865-305-8780
  • Fax: 865-305-8199
Mailing address:
  • Phone: 865-670-6199
  • Fax: 865-670-6198

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberMD34188
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: