Individual provider · Type 1 NPI

Derek S. Newsome, PA-C

Medical Physician Assistant · Charleston, WV

NPI number 1669780649 Active

Practice location

3200 Maccorkle Ave SE, Suite B16
Charleston, WV 25304-1227

Call (304) 388-5848 Map

Fax (304) 388-9654

Mailing address

3200 Maccorkle Seave B16
Charleston, WV 25304-1227

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X01510 (WV)

Medical Physician Assistant: Definition to come...

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About NPI 1669780649

Derek S. Newsome, PA-C's National Provider Identifier is 1669780649, issued on Sep 23, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Charleston, WV. The record was last updated on Dec 23, 2015.