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Individual

DR. GERALD WAYNE NEWMAN JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1567 MILSTEAD RD NE, SUITE A, CONYERS, GA 30012-3835
(770) 483-2291
(770) 483-2927
Mailing address
1567 MILSTEAD RD NE, SUITE A, CONYERS, GA 30012-3835
(770) 483-2291
(770) 483-2927

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD000702
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
122574162863
HUMANA
01
52415558
BLUE CROSS BLUE SHIELD
GA
01
6141907
CIGNA
01
6656
COVENTRY HEALTH CARE
GA
Enumeration date
07/19/2005
Last updated
11/27/2007
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