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Individual

DR. HAROLD DOUGLAS NEW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
617 CAMPUS DR, ABINGDON, VA 24210-9700
(276) 676-3870
(276) 628-8927
Mailing address
PO BOX 9, KINGSPORT, TN 37662-0009
(423) 857-2066
(423) 857-2070

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101257093
VA
207N00000X
Dermatology Physician
43422
KY
207N00000X
Dermatology Physician
49741
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100121390
KY
01
9492505
AETNA
01
P00847185
RR MEDICARE
01
P01554204
RR MEDICARE
VA
01
P01582842
RAILROAD MEDICARE
VA
Enumeration date
03/02/2007
Last updated
03/01/2017
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