Organization
NEWTON FAMILY MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC RADABAUGH MBA (CFO)
(843) 364-6695
Entity
Organization
Contact information
Practice address
1477 TOBIAS GADSON BLVD, CHARLESTON, SC 29407-4794
(843) 766-7696
Mailing address
1477 TOBIAS GADSON BLVD, CHARLESTON, SC 29407-4794
(843) 766-7696
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19206
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19206
MEDICAL LICENSE
SC
Enumeration date
10/21/2016
Last updated
10/21/2016
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