Organization
NEWSOM HEALTHCARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAM ALEXANDER (ADMINISTRATOR)
(901) 756-5565
Entity
Organization
Contact information
Practice address
2906 GOODMAN RD W, SUITE 109, HORN LAKE, MS 38637-1291
(662) 393-8022
(662) 393-8052
Mailing address
3249 W SARAZENS CIR, MEMPHIS, TN 38125-0807
(901) 756-5565
(901) 756-5564
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07823202
—
MS
Enumeration date
08/30/2008
Last updated
11/21/2012
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