MEDICARE: CHRISTOPHER SCOTT NEWTOWN PA-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
1	363A00000X	Physician Assistant	0110010389	VA
2	363A00000X	Physician Assistant	0010-09767	NC
3	363A00000X	Physician Assistant	2024028038	MO

General Provider Information

NPI Number	:	1851938302
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER SCOTT NEWTOWN PA-C

Provider Business Mailing Address
First Line	:	309 E MOREHEAD ST APT 815
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28202-2312
Country	:	US
Telephone Number	:	919-307-6909
Fax Number	:

Provider Business Practice Location Address
First Line	:	2700 WAYNE MEMORIAL DR
Second Line	:
City	:	GOLDSBORO
State	:	NC
Zip	:	27534-9494
Country	:	US
Telephone Number	:	919-587-4394
Fax Number	:	919-587-2998

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/03/2019
Last Update Date	:	06/10/2026

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