Newsome, George Burgwyn

Newsome, George Burgwyn is an individual health care provider with primary practice located at 140 Kimel Park Dr , Winston-Salem NC 27103-6946. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Newsome, George Burgwyn can be contacted via phone (336) 245-2100.

Contact Information

Primary practice address
140 Kimel Park Dr Winston-Salem NC 27103-6946
Phone: (336) 245-2100
Fax: (336) 768-7782
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 9400597 North Carolina

Profile Details

NPI number 1174585947
LBN Legal business name Newsome, George Burgwyn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Nov 30th, 2016 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174585947 NPPES
North Carolina Other 2344759 MEDICARE, GROUP
North Carolina MEDICAID 8962397 MEDICARE, GROUP
North Carolina Other 2198378A MEDICARE, GROUP
North Carolina Other 340019355 MEDICARE, GROUP

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