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NPI Code Detail

MEDICARE: TEREL S NEWTON MD

MEDICARE: TEREL S NEWTON MD
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
1207LP2900XPain Medicine (Anesthesiology) PhysicianME109638FL
2207LA0401XAddiction Medicine (Anesthesiology) PhysicianME109638FL
3207LA0401XAddiction Medicine (Anesthesiology) Physician2011-00093NC
4208VP0014XInterventional Pain Medicine PhysicianME109638FL

General Provider Information

NPI Number : 1447474390
Entity Type Code : Individual
Provider Name (Legal Business Name) : TEREL S NEWTON MD
Provider Business Mailing Address
First Line : PO BOX 3123
Second Line :
City : ST AUGUSTINE
State : FL
Zip : 32085-3123
Country : US
Telephone Number : 904-374-0353
Fax Number : 904-503-0982
Provider Business Practice Location Address
First Line : 10175 FORTUNE PKWY UNIT 803
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32256-6754
Country : US
Telephone Number : 904-374-0353
Fax Number : 904-503-0982
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2007
Last Update Date : 05/16/2024

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