Individual
ROGER B. NEWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD.
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-0001
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
10563
SC
207VM0101X
Maternal & Fetal Medicine Physician
Primary
10563
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105638
—
SC
01
—
3922
US MEDICARE GROUP
SC
05
—
USC001
—
SC
Enumeration date
08/21/2006
Last updated
05/03/2012
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