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Individual

ATHENA NEWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
1465 HOWELL MILL RD NW STE 300A, ATLANTA, GA 30318-4246
(404) 254-5905
Mailing address
1043 E MONTAGUE AVE STE 101, NORTH CHARLESTON, SC 29405-4974
(404) 254-5905

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
29689
SC
207Q00000X
Family Medicine Physician
AP138047
TX
363LF0000X
Family Nurse Practitioner
Primary
287975
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
287975
STATE LICENSE
GA
01
29689
FAMILYPRACTICE
SC
01
46-4599729
FAMILY PRACTICE
Enumeration date
07/14/2018
Last updated
01/23/2026
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