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Individual

MRS. ELLINGTON GRACE DAY NEWSOME

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
619 19TH ST S, BIRMINGHAM, AL 35233-1900
(205) 934-4011
Mailing address
350 HOSPITAL DR, MACON, GA 31217-3838
(478) 765-7000

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
11647
GA
363A00000X
Physician Assistant
Primary
PA.2392
AL

Other

Enumeration date
04/18/2023
Last updated
06/26/2026
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