Individual
CAMERON NEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
233 MAGNOLIA ST, HAZLEHURST, MS 39083-2228
(601) 894-3646
Mailing address
4109 HIGHWAY 98 W, SUMMIT, MS 39666-9132
(601) 276-3900
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA4857
MS
Other
Enumeration date
02/10/2016
Last updated
02/10/2016
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