Individual
DAVID CHESTER NEWBROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
102 MEDICAL DR, ELIZABETH CITY, NC 27909-3361
(252) 338-4117
Mailing address
PO BOX 297, GATESVILLE, NC 27938-0297
(252) 357-1226
(252) 357-1236
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
100258
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100258
NC MEDICAL BOARD LICENSE
NC
Enumeration date
10/03/2006
Last updated
09/28/2020
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