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NPI Code Detail

MEDICARE: ROBERT D BREWER III

MEDICARE: ROBERT D BREWER III
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12083P0901XPublic Health & General Preventive Medicine Physician036.066911IL

General Provider Information

NPI Number : 1659224178
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT D BREWER III
Provider Business Mailing Address
First Line : 138 SUPERIOR AVE
Second Line :
City : DECATUR
State : GA
Zip : 30030-1813
Country : US
Telephone Number : 404-314-5202
Fax Number :
Provider Business Practice Location Address
First Line : 138 SUPERIOR AVE
Second Line :
City : DECATUR
State : GA
Zip : 30030-1813
Country : US
Telephone Number : 404-314-5202
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2026
Last Update Date : 02/16/2026

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Directions to “ ROBERT D BREWER III ” Practice Location

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