Provider Demographics
NPI:1962636571
Name:NEWTON, AMANDA M (MD)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:M
Last Name:NEWTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 40
Mailing Address - Street 2:
Mailing Address - City:MC CAYSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30555-0040
Mailing Address - Country:US
Mailing Address - Phone:706-632-0330
Mailing Address - Fax:706-632-9004
Practice Address - Street 1:460 W MAIN ST
Practice Address - Street 2:SUITE 100
Practice Address - City:BLUE RIDGE
Practice Address - State:GA
Practice Address - Zip Code:30513-7127
Practice Address - Country:US
Practice Address - Phone:706-632-0330
Practice Address - Fax:706-632-9004
Is Sole Proprietor?:No
Enumeration Date:2009-05-11
Last Update Date:2012-11-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA068839208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics