Individual
DR. WYLIE EDWARD NEWTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
950A S. ENOTA DRIVE, GAINESVILLE, GA 30501-2439
(678) 450-8969
(678) 450-8957
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
064875
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TO BE DETERMINED
—
GA
Enumeration date
06/30/2005
Last updated
10/27/2020
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