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NPI Code Detail

MEDICARE: MAUREEN EDYTHE NEWTON NP-C

MEDICARE:   MAUREEN EDYTHE NEWTON  NP-C
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
1363LA2200XAdult Health Nurse Practitioner146013GA

General Provider Information

NPI Number : 1689924821
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAUREEN EDYTHE NEWTON NP-C
Provider Business Mailing Address
First Line : 1903 NORTH DRUID HILLS ROAD
Second Line :
City : ATLANTA
State : GA
Zip : 30329
Country : US
Telephone Number : 404-315-8333
Fax Number : 678-904-4460
Provider Business Practice Location Address
First Line : 1903 N DRUID HILLS RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30319-4119
Country : US
Telephone Number : 404-315-8333
Fax Number : 678-904-4460
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2012
Last Update Date : 05/02/2018

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Directions to “ MAUREEN EDYTHE NEWTON NP-C” Practice Location

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