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NPI Code Detail

MEDICARE: DR. MODEL N/A NEWAY M.D.

MEDICARE:  DR. MODEL N/A NEWAY  M.D.
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
1207PE0004XEmergency Medical Services (Emergency Medicine) Physician038570GA
2207R00000XInternal Medicine Physician038570GA

General Provider Information

NPI Number : 1598851636
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MODEL N/A NEWAY M.D.
Provider Business Mailing Address
First Line : 3112 PINE HEIGHTS DR NE
Second Line :
City : ATLANTA
State : GA
Zip : 30324-2843
Country : US
Telephone Number : 404-812-9941
Fax Number :
Provider Business Practice Location Address
First Line : 3112 PINE HEIGHTS DR NE
Second Line :
City : ATLANTA
State : GA
Zip : 30324-2843
Country : US
Telephone Number : 404-812-9941
Fax Number : 404-812-9942
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2006
Last Update Date : 09/11/2025

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Directions to “ DR. MODEL N/A NEWAY M.D.” Practice Location

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