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Individual

DR. EDWARD MARSHALL NEWTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1477 TOBIAS GADSON BLVD, CHARLESTON, SC 29407
(843) 766-7696
(843) 556-5882
Mailing address
PO BOX 13955, CHARLESTON, SC 29422-3955
(843) 766-7696
(843) 556-5882

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
SC19206
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080162052
RR MEDICARE
SC
01
080180707
RR MEDICARE
SC
05
192062
SC
01
P00727217
RAILROAD MEDICARE ID-RSFPP
SC
Enumeration date
06/15/2006
Last updated
08/10/2016
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