Organization
CSRA EMERGENCY PHYSICIANS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM MARK NEWTON MD (MD/OWNER)
(706) 737-4575
Entity
Organization
Contact information
Practice address
3651 WHEELER ROAD, ER DEPT., AUGUSTA, GA 30909
(706) 651-2369
(706) 651-2364
Mailing address
P.O. BOX 3638, 1125 TROUPE STREET, AUGUSTA, GA 30914-3638
(706) 737-4575
(706) 731-5289
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
GA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
—
—
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
—
—
207PS0010X
Sports Medicine (Emergency Medicine) Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207QA0000X
Adolescent Medicine (Family Medicine) Physician
—
—
207QA0505X
Adult Medicine Physician
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184733735
NPI - MICHAEL ECKERT, DO
—
01
—
1356345136
NPI - RONALD BEAUDREAU
—
01
—
1487763827
NPI - TROY COON
—
01
—
1922114677
NPI - PAUL H. BONUCCI, MD
—
05
—
GPA828
—
SC
Enumeration date
09/05/2006
Last updated
10/04/2007
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