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Individual

DR. SAMUEL RALPH NEWCOM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
154 HURT ST NE, ATLANTA, GA 30307-2538
(404) 228-3500
Mailing address
154 HURT ST NE, ATLANTA, GA 30307-2538
(404) 523-0159

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
026607
GA
207RH0003X
Hematology & Oncology Physician
Primary
026607
GA

Other

Enumeration date
01/20/2007
Last updated
08/28/2009
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