Newberry, Michael

Newberry, Michael is an individual health care provider with primary practice located at 146 Depot St Ste 202 , Blue Ridge GA 30513-8625. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Addiction Psychiatry. Allopathic & Osteopathic Physicians / Addiction Psychiatry is his primary health care specialty. Newberry, Michael can be contacted via phone (321) 727-9063.

Contact Information

Primary practice address
146 Depot St Ste 202 Blue Ridge GA 30513-8625
Phone: (321) 727-9063
Fax: (321) 728-1955
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME62341 Florida
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X 72016 Georgia

Profile Details

NPI number 1467569889
LBN Legal business name Newberry, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Jan 3rd, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467569889 NPPES
Georgia MEDICAID 003275728A
Georgia MEDICAID 003275728C

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