Organization
ANDREW J NEWSOME DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NATASHA CLOUD (BUSINESS MANAGER)
(404) 768-2887
Entity
Organization
Contact information
Practice address
2230 GODBY RD, COLLEGE PARK, GA 30349-5002
(404) 768-2287
Mailing address
2230 GODBY RD, COLLEGE PARK, GA 30349-5002
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
9084
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003126628B
—
GA
Enumeration date
07/15/2016
Last updated
07/15/2016
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