Provider Demographics
NPI:1437659729
Name:NEWTON, LOWELL ELDEEN
Entity Type:Individual
Prefix:
First Name:LOWELL
Middle Name:ELDEEN
Last Name:NEWTON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 KIMBERWICK DR
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:GA
Mailing Address - Zip Code:30228-3417
Mailing Address - Country:US
Mailing Address - Phone:678-764-7411
Mailing Address - Fax:
Practice Address - Street 1:300 KIMBERWICK DR
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:GA
Practice Address - Zip Code:30228-3417
Practice Address - Country:US
Practice Address - Phone:678-764-7411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-13
Last Update Date:2018-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health