Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0127X | Trauma Surgeon | 200300390 | NC |
NPI | 1174518666 |
---|---|
Provider Name | Dr. Mark A Newell |
First Address | Charlotte, NC 28275-1069 |
Second Address | Greenville, NC 27834-2849 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/09/2005 |
Last Update Date | 17/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
134CU | BCBS NC (01) | NC |
89134CU | (05) | NC |
H07272 | (02) | NC |
P00030685 | RAILROAD MEDICARE (01) | NC |