Individual
FARRAH D NEWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
1190 N STATE ST, SUITE 403, JACKSON, MS 39202-2413
(601) 353-2020
(601) 714-5110
Mailing address
1190 N STATE ST, SUITE 403, JACKSON, MS 39202-2413
(601) 353-2020
(601) 714-5110
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
20070
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02838545
—
MS
05
—
2135171
—
LA
01
—
C02972
MEDICARE GROUP PTAN
MS
01
—
P00812877
RAILROAD MEDICARE
MS
Enumeration date
05/24/2007
Last updated
07/02/2013
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