Provider Demographics
NPI:1982803060
Name:NEWTON, CAROL (COTA)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:
Last Name:NEWTON
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7900D STEVENS MILL RD
Mailing Address - Street 2:#160
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28104-2929
Mailing Address - Country:US
Mailing Address - Phone:704-577-6877
Mailing Address - Fax:
Practice Address - Street 1:2081 LANGHORNE RD
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501-1443
Practice Address - Country:US
Practice Address - Phone:434-846-8437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-17
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor