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NPI Code Detail

MEDICARE: DR. JAMES L NEWLON DO

MEDICARE: DR. JAMES L NEWLON DO
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
1207Q00000XFamily Medicine Physician026606GA

General Provider Information

NPI Number : 1982693107
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES L NEWLON DO
Provider Business Mailing Address
First Line : 145 N MEDICAL PKWY
Second Line :
City : WOODSTOCK
State : GA
Zip : 30189-7031
Country : US
Telephone Number : 770-592-3000
Fax Number : 770-592-3012
Provider Business Practice Location Address
First Line : 145 N MEDICAL PKWY
Second Line :
City : WOODSTOCK
State : GA
Zip : 30189-7031
Country : US
Telephone Number : 770-592-3000
Fax Number : 770-592-3012
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2005
Last Update Date : 07/12/2011

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