Individual
MS. DIVINE NEWSOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1463 PAMALEE DR, FAYETTEVILLE, NC 28303-3974
(910) 482-3000
Mailing address
243 CHECKMATE CT, CAMERON, NC 28326-0019
(910) 703-0207
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-12942
NC
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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