Individual
ERNST H. NIEUWOUDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
108 PROMINENCE CT, DAWSONVILLE, GA 30534-6339
(706) 216-3238
(706) 216-5285
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
042374
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00722323A
—
GA
Enumeration date
08/23/2005
Last updated
10/27/2020
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