Basic Information
Provider Information
NPI: 1790162097
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NEWTON
FirstName: EMILY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 160 DENTAL CIR
Address2: 4032 BURNETT-WOMACK BDG
City: CHAPEL HILL
State: NC
PostalCode: 275997050
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 170 MANNING DR
Address2:  
City: CHAPEL HILL
State: NC
PostalCode: 275144221
CountryCode: US
TelephoneNumber: 9199664653
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/06/2015
LastUpdateDate: 05/06/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000X209901NCY Allopathic & Osteopathic PhysiciansSurgery 

No ID Information.


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