Provider Demographics
NPI:1962417816
Name:NEWTON-JONES, PAIGE
Entity type:Individual
Prefix:
First Name:PAIGE
Middle Name:
Last Name:NEWTON-JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3616 KILLARNEY TRL
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30039-5966
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:875 FLAT SHOALS RD SE
Practice Address - Street 2:STE 160
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30094-6638
Practice Address - Country:US
Practice Address - Phone:770-785-7669
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAA000147OtherLICENSE#