Newton, Wylie Edward

Newton, Wylie Edward is an individual health care provider with primary practice located at 950A S. Enota Drive , Gainesville GA 30501-2439. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Newton, Wylie Edward can be contacted via phone (678) 450-8969.

Contact Information

Primary practice address
950A S. Enota Drive Gainesville GA 30501-2439
Fax: (678) 450-8957
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 064875 Georgia

Profile Details

NPI number 1356348759
LBN Legal business name Newton, Wylie Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Oct 27th, 2020 - about 4 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 1356348759 NPPES
Georgia MEDICAID TO BE DETERMINED

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