Provider Demographics
NPI:1306060561
Name:MCNEW, GINA LENORE (MD)
Entity type:Individual
Prefix:DR
First Name:GINA
Middle Name:LENORE
Last Name:MCNEW
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1122 MAIN STREET
Mailing Address - Street 2:SUITE 7
Mailing Address - City:VILONIA
Mailing Address - State:AR
Mailing Address - Zip Code:72173-8902
Mailing Address - Country:US
Mailing Address - Phone:501-796-2791
Mailing Address - Fax:501-377-9084
Practice Address - Street 1:1122 MAIN STREET
Practice Address - Street 2:SUITE 7
Practice Address - City:VILONIA
Practice Address - State:AR
Practice Address - Zip Code:72173-8902
Practice Address - Country:US
Practice Address - Phone:501-796-2791
Practice Address - Fax:501-796-0148
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2014-12-26
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Provider Licenses
StateLicense IDTaxonomies
ARE-5175207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR164728001Medicaid
AR164728001Medicaid
AR5GA22Medicare PIN