Organization
SUNBURY CLINIC COMPANY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY NEWSOME (PRESIDENT)
(615) 465-3152
Entity
Organization
Contact information
Practice address
337 ARCH ST, SUNBURY, PA 17801-2212
(570) 286-0303
Mailing address
330 FRANKLIN RD, #135A-333, BRENTWOOD, TN 37027-3280
(615) 465-3152
(615) 465-3017
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
Other
Enumeration date
11/28/2006
Last updated
09/11/2025
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