Individual
DR. GARY R NEWSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 UNIVERSITY BLVD E STE 204, TUSCALOOSA, AL 35401-7431
(205) 553-9171
(205) 553-9127
Mailing address
701 UNIVERSITY BLVD E STE 204, TUSCALOOSA, AL 35401-7431
(205) 553-9171
(205) 553-9127
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
21330
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51004718
BLUE CROSS BLUE SHIELD
AL
Enumeration date
07/17/2006
Last updated
11/05/2008
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