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Individual

CHRISTY R NEWBAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
126 E MAIN ST, NEWBERN, TN 38059-1527
(731) 627-2221
(731) 627-6152
Mailing address
PO BOX 5047, MERIDIAN, MS 39302-5047
(800) 447-4095
(601) 482-7490

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000009489
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3693618
MEDICARE PART B
TN
Enumeration date
02/21/2008
Last updated
09/21/2011
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