Individual
DR. MICHAEL NEWBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
146 DEPOT ST STE 202, BLUE RIDGE, GA 30513-8625
(321) 727-9063
(321) 728-1955
Mailing address
311 JUDGES RD, WILMINGTON, NC 28405-3651
(910) 791-6767
(910) 399-2190
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME62341
FL
2084P0802X
Addiction Psychiatry Physician
Primary
72016
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003275728A
—
GA
05
—
003275728C
—
GA
Enumeration date
08/23/2006
Last updated
01/03/2023
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