Individual
MARIA NEWHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
804 NORTHWOOD PARK DR, VALDOSTA, GA 31602-1392
(229) 249-7888
Mailing address
3812 HONEYSUCKLE DR, VALDOSTA, GA 31605-5104
(229) 210-1023
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
007852
GA
Other
Enumeration date
01/08/2016
Last updated
01/08/2016
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