MEDICARE: NEWLAND HEALTHCARE INC.

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1306848346
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEWLAND HEALTHCARE INC.

Provider Business Mailing Address
First Line	:	3420 NORMAN BERRY DR
Second Line	:	SUIT 315
City	:	ATLANTA
State	:	GA
Zip	:	30354-1385
Country	:	US
Telephone Number	:	404-209-1227
Fax Number	:	404-209-1228

Provider Business Practice Location Address
First Line	:	3420 NORMAN BERRY DR
Second Line	:	SUIT 315
City	:	ATLANTA
State	:	GA
Zip	:	30354-1385
Country	:	US
Telephone Number	:	404-209-1227
Fax Number	:	404-209-1228

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ALFRED EME ONYEUKU
Credential	:
Telephone Number	:	404-209-1227

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	08/22/2020

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