Individual
JOHN E NEWSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDLD
Contact information
Practice address
849 S THREE NOTCH ST, ANDALUSIA, AL 36420-5325
(334) 222-6907
(334) 222-9811
Mailing address
849 S THREE NOTCH ST, P.O. BOX 760, ANDALUSIA, AL 36420-5325
(334) 222-6907
(334) 222-9811
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1757
AL
Other
Enumeration date
07/20/2007
Last updated
07/20/2007
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