Individual
JEREMIAH HUNTER NEWSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-7518
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-7518
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD.29294
AL
208M00000X
Hospitalist Physician
Primary
MD.205258
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02789541
—
MS
05
—
2195620
—
LA
Enumeration date
06/12/2007
Last updated
10/25/2012
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