Provider Demographics
NPI:1902863707
Name:NEWMAN, NANCY JEAN (MD)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:JEAN
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1365B CLIFTON RD NE
Mailing Address - Street 2:RM 3600
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30322
Mailing Address - Country:US
Mailing Address - Phone:404-778-5360
Mailing Address - Fax:404-778-4849
Practice Address - Street 1:1365B CLIFTON RD NE
Practice Address - Street 2:BUILDING B STE 4500
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322
Practice Address - Country:US
Practice Address - Phone:404-778-3420
Practice Address - Fax:404-778-5128
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2018-09-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA031642207WX0109X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0109XAllopathic & Osteopathic PhysiciansOphthalmologyNeuro-ophthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
E44297Medicare UPIN
18BDFNMedicare ID - Type Unspecified