Individual
NEWTON W CHISM JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 BELLEVUE RD, #23 ERIN OFFICE PARK, DUBLIN, GA 31021-2885
(478) 272-8580
(478) 275-0012
Mailing address
2400 BELLEVUE RD STE 23, DUBLIN, GA 31021-2888
(478) 272-8580
(478) 275-0012
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
017442
GA
207V00000X
Obstetrics & Gynecology Physician
017442
GA
2084P0800X
Psychiatry Physician
017442
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00082233A
—
GA
05
—
300030912A
—
GA
Enumeration date
06/07/2006
Last updated
08/06/2026
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