Individual
DR. JACK EDWARD NEWSOME JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
21 S COMMERCE ST, LIBERTY, SC 29657-1132
(864) 506-1749
Mailing address
307 W FRONT ST, LIBERTY, SC 29657-1011
(864) 506-1749
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2259
SC
111N00000X
Chiropractor
Primary
CH 7705
FL
Other
Enumeration date
06/13/2006
Last updated
09/17/2012
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