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Contact Information

MICHAEL NEWBERRY, MD
146 DEPOT ST STE 202
BLUE RIDGE, GA30513-8625
 Phone: 321-727-9063
 Fax: 321-728-1955
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for MICHAEL NEWBERRY · (Male)

NPI Number 1467569889
Status Active
Credentials MD
Entity Individual
Enumeration date 08/23/2006
Last updated 01/03/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME62341
  • GA License # 72016
  • GA Medicaid 003275728A
  • GA Medicaid 003275728C
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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