Individual
JASON G NEWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
87175
SC
207Y00000X
Otolaryngology Physician
MD423942
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010966080001
—
PA
Enumeration date
06/27/2006
Last updated
03/21/2022
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