Individual
DR. MODEL N/A NEWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3112 PINE HEIGHTS DR NE, ATLANTA, GA 30324-2843
(404) 812-9941
(404) 812-9942
Mailing address
3112 PINE HEIGHTS DR NE, ATLANTA, GA 30324-2843
(404) 812-9941
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
038570
GA
207R00000X
Internal Medicine Physician
Primary
038570
GA
Other
Enumeration date
10/05/2006
Last updated
09/11/2025
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