Individual
NIKKI L NEWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1 BURNT CHURCH RD STE A, BLUFFTON, SC 29910-6405
(843) 706-2185
(855) 299-5693
Mailing address
955 RIBAUT RD, BEAUFORT, SC 29902-5454
(843) 522-7843
(843) 522-5945
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2138
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1986PA
—
SC
Enumeration date
12/13/2010
Last updated
06/30/2021
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