Individual
DR. JOHN O NEWCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
115 HARPER COURT, TUSCALOOSA, AL 35401-1250
(205) 366-3010
(205) 366-3012
Mailing address
PO BOX 21231, TUSCALOOSA, AL 35402-1250
(205) 366-3010
(205) 366-3012
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
12815
AL
207Q00000X
Family Medicine Physician
Primary
12815
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009953610
—
AL
01
—
051081498NEW
BLUECROSSBLUESHIELD OF AL
AL
01
—
051519117NEW
BLUECROSSBLUESHIELD OF AL
AL
01
—
930126722
MEDICARE RAILROAD
AL
Enumeration date
08/13/2006
Last updated
12/07/2023
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