Organization
EASTGATE PEDS CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEATRICE O. NEWELL MD FAAP (PHYSICIAN)
(601) 484-5955
Entity
Organization
Contact information
Practice address
2203 HIGHWAY 39 N STE B, MERIDIAN, MS 39301-2609
(601) 484-5955
(601) 484-5960
Mailing address
2203 HIGHWAY 39 N STE B, MERIDIAN, MS 39301-2609
(601) 484-5955
(601) 484-5960
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07825736
—
MS
Enumeration date
02/20/2007
Last updated
08/22/2020
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