Provider Demographics
NPI:1144401951
Name:DALY, NEWELL ALDRIDGE (DO)
Entity Type:Individual
Prefix:DR
First Name:NEWELL
Middle Name:ALDRIDGE
Last Name:DALY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 488
Mailing Address - Street 2:
Mailing Address - City:CONOVER
Mailing Address - State:NC
Mailing Address - Zip Code:28613-0488
Mailing Address - Country:US
Mailing Address - Phone:855-968-8233
Mailing Address - Fax:866-502-1008
Practice Address - Street 1:810 FAIRGROVE CHURCH RD
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-9617
Practice Address - Country:US
Practice Address - Phone:855-968-8233
Practice Address - Fax:866-502-1008
Is Sole Proprietor?:No
Enumeration Date:2007-11-20
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2006-00342207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5909497Medicaid
NC5909497Medicaid