Provider Demographics
NPI:1114130184
Name:NEWTON HEALTH CARE SYSTEMS, INC.
Entity Type:Organization
Organization Name:NEWTON HEALTH CARE SYSTEMS, INC.
Other - Org Name:BRYAN R. PARRY M.D. AND ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:GAIL
Authorized Official - Last Name:VARNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-788-9557
Mailing Address - Street 1:4181 HOSPITAL DRIVE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:COVINGTON
Mailing Address - State:GA
Mailing Address - Zip Code:30014
Mailing Address - Country:US
Mailing Address - Phone:770-788-6534
Mailing Address - Fax:770-788-7658
Practice Address - Street 1:4181 HOSPITAL DR NE
Practice Address - Street 2:SUITE 204
Practice Address - City:COVINGTON
Practice Address - State:GA
Practice Address - Zip Code:30014-2541
Practice Address - Country:US
Practice Address - Phone:770-788-6534
Practice Address - Fax:770-788-7658
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEWTON HEALTH CARE SYSTEMS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-05-07
Last Update Date:2008-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA043734174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00751968AMedicaid
GAGRP6951Medicare PIN
GAG55686Medicare UPIN