MEDICARE: DAVID NEWSOME JR.

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	225100000X	Physical Therapist	012019	GA

General Provider Information

NPI Number	:	1174990295
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID NEWSOME JR.

Provider Business Mailing Address
First Line	:	3605 BRASELTON HWY STE 101
Second Line	:
City	:	DACULA
State	:	GA
Zip	:	30019-4666
Country	:	US
Telephone Number	:	770-904-0772
Fax Number	:

Provider Business Practice Location Address
First Line	:	3605 BRASELTON HWY STE 101
Second Line	:
City	:	DACULA
State	:	GA
Zip	:	30019-4666
Country	:	US
Telephone Number	:	770-904-0772
Fax Number	:

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

Provider Enumeration Date	:	08/24/2015
Last Update Date	:	09/03/2015

Similar Medicare Providers

1174389944 — KELVIN ANDREW PITTMAN JR. DPT
Practice Location Address:

3605 BRASELTON HWY STE 101
DACULA, GA
30019-4666

Practice Phone: 770-904-0772
Practice Fax:

1942386073 — PHYSIOTHERAPY ASSOCIATES INC
Practice Location Address:

3605 BRASELTON HWY , SUITE 101
DACULA, GA
30019-4666

Practice Phone: 770-904-0772
Practice Fax: 770-904-0774

1063551950 — DR. MARY LU MCNEILL MD
Practice Location Address:

3605 BRASELTON HWY , SUITE 101
DACULA, GA
30019-4666

Practice Phone: 678-804-7430
Practice Fax: 678-804-7418

1801272273 — PHYSIO
Practice Location Address:

3605 BRASELTON HWY , SUITE 101
DACULA, GA
30019-4666

Practice Phone: 770-904-0772
Practice Fax:

1417801663 — JACLYN BULLUCK PT, DPT
Practice Location Address:

1854 AUBURN RD STE 101
DACULA, GA
30019-1130

Practice Phone: 770-904-6009
Practice Fax: 770-904-2357

1417802299 — HELEN UFUOMA IBIM
Practice Location Address:

430 BALLYSHANNON DR
DACULA, GA
30019-6575

Practice Phone: 678-972-7475
Practice Fax:

Directions to “ DAVID NEWSOME JR. ” 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.