Individual
DR. TODD CHRISTOPHER NEWSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
114 CANAL ST STE 703, POOLER, GA 31322-4291
(912) 988-3323
(912) 988-3612
Mailing address
114 CANAL ST STE 703, POOLER, GA 31322-4291
(912) 988-3323
(912) 988-3612
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
GA000911
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000927011C
—
GA
01
—
205284392
TAX ID SC
SC
Enumeration date
08/10/2006
Last updated
10/10/2022
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