Individual
DR. CIAO Z NEWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2149 STATELINE RD W, SOUTHAVEN, MS 38671-1222
(662) 342-1112
(662) 342-1116
Mailing address
2149 STATELINE RD W, SOUTHAVEN, MS 38671-1222
(662) 342-1112
(662) 342-1116
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18647
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02207004
—
MS
Enumeration date
02/23/2007
Last updated
02/28/2022
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