Provider Demographics
NPI:1396027280
Name:CULBERTSON, NEWTON HUNTER III (DPH)
Entity Type:Individual
Prefix:MR
First Name:NEWTON
Middle Name:HUNTER
Last Name:CULBERTSON
Suffix:III
Gender:M
Credentials:DPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 W NORTHFIELD BLVD
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-1561
Mailing Address - Country:US
Mailing Address - Phone:615-580-5799
Mailing Address - Fax:615-580-5799
Practice Address - Street 1:106 W NORTHFIELD BLVD
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-1561
Practice Address - Country:US
Practice Address - Phone:615-580-5799
Practice Address - Fax:615-580-5799
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-15
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6086183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist