Provider Demographics
NPI:1114582954
Name:NEWMAN, JAMES AUGUST JR (PA-C,PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:AUGUST
Last Name:NEWMAN
Suffix:JR
Gender:M
Credentials:PA-C,PT, DPT
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Mailing Address - Street 1:300 E MCBEE AVE FL 4
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29601-2842
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:22725 HIGHWAY 76 E
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:SC
Practice Address - Zip Code:29325-7527
Practice Address - Country:US
Practice Address - Phone:864-833-9100
Practice Address - Fax:864-833-9458
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-07
Last Update Date:2023-03-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SC4723363A00000X
SC96822251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic