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NPI Code Detail

MEDICARE: DR. SUSAN L NEWSOME MD

MEDICARE: DR. SUSAN L NEWSOME 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
1208000000XPediatrics Physician0101045979VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1466031OTHERANTHEM
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
366814OTHEROPTIMA
4232357OTHERSOUTHERN HEALTH
54522796005OTHERCIGNA

General Provider Information

NPI Number : 1831195338
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUSAN L NEWSOME MD
Provider Business Mailing Address
First Line : 3302 ALBERT LONG DR
Second Line :
City : HARRISONBURG
State : VA
Zip : 22801-2473
Country : US
Telephone Number : 540-434-0898
Fax Number : 540-433-9268
Provider Business Practice Location Address
First Line : 3302 ALBERT LONG DR
Second Line :
City : HARRISONBURG
State : VA
Zip : 22801-2473
Country : US
Telephone Number : 540-434-0898
Fax Number : 540-433-9268
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2005
Last Update Date : 08/21/2012

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Directions to “ DR. SUSAN L NEWSOME MD” Practice Location

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