Provider Demographics
NPI:1922083468
Name:NEWBY, JAMES T JR (DO)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:T
Last Name:NEWBY
Suffix:JR
Gender:M
Credentials:DO
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Mailing Address - Street 1:7003 SHALLOWFORD RD STE 103
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-6722
Mailing Address - Country:US
Mailing Address - Phone:423-531-6530
Mailing Address - Fax:423-591-9994
Practice Address - Street 1:7003 SHALLOWFORD RD STE 103
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-6722
Practice Address - Country:US
Practice Address - Phone:423-531-6530
Practice Address - Fax:423-591-9994
Is Sole Proprietor?:No
Enumeration Date:2005-12-07
Last Update Date:2014-02-14
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Provider Licenses
StateLicense IDTaxonomies
TN1503207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3307638Medicare ID - Type Unspecified