Newman, Gerald Wayne
Newman, Gerald Wayne is an sole proprietor health care provider with primary practice located at 1567 Milstead Rd Ne Suite A, Conyers GA 30012-3835. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Newman, Gerald Wayne can be contacted via phone (770) 483-2291.Contact Information
Primary practice address
1567 Milstead Rd Ne Suite A
Conyers GA 30012-3835
Phone: (770) 483-2291
Fax: (770) 483-2927
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | POD000702 | Georgia |
Profile Details
| NPI number | 1700885910 |
|---|---|
| LBN Legal business name | Newman, Gerald Wayne |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Nov 27th, 2007 - about 17 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700885910 | NPPES |
| Georgia | Other | 52415558 | BLUE CROSS BLUE SHIELD |
| Georgia | Other | 122574162863 | BLUE CROSS BLUE SHIELD |
| Georgia | Other | 6141907 | BLUE CROSS BLUE SHIELD |
| Georgia | Other | 6656 | BLUE CROSS BLUE SHIELD |
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