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NPI Code Detail

MEDICARE: DEBORAH A BREWER NP

MEDICARE: DEBORAH A BREWER NP
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
1363L00000XNurse PractitionerRN042077NPGA

General Provider Information

NPI Number : 1891854303
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH A BREWER NP
Provider Business Mailing Address
First Line : 308 MEADOWRIDGE DR
Second Line :
City : WARNER ROBINS
State : GA
Zip : 31093-2128
Country : US
Telephone Number : 478-955-6999
Fax Number :
Provider Business Practice Location Address
First Line : 2464 ROSWELL RD
Second Line :
City : MARIETTA
State : GA
Zip : 30062-4954
Country : US
Telephone Number : 478-955-6999
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2006
Last Update Date : 02/10/2014

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