Provider Demographics
NPI:1619907433
Name:NEWTON, WILLIAM JL (DO MS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:JL
Last Name:NEWTON
Suffix:
Gender:M
Credentials:DO MS
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Mailing Address - Street 1:2230 COWAN HWY
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:TN
Mailing Address - Zip Code:37398-2627
Mailing Address - Country:US
Mailing Address - Phone:931-962-8012
Mailing Address - Fax:931-968-1968
Practice Address - Street 1:2230 COWAN HWY
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:TN
Practice Address - Zip Code:37398-2627
Practice Address - Country:US
Practice Address - Phone:931-962-8012
Practice Address - Fax:931-968-1968
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN2014208100000X
TNDO2014208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3041453Medicare PIN