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Organization
COLORECTAL SURGERY ASSOCIATES P C
Active
Organization
COLORECTAL SURGERY ASSOCIATES P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS ALAN BREWER (MD)
(478) 471-1943
Entity
Organization
Contact information
Practice address
240 SHERATON BLVD, MACON, GA 31210-1358
(478) 471-1943
(478) 475-9780
Mailing address
240 SHERATON BLVD, MACON, GA 31210-1358
(478) 471-1943
(478) 475-9780
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
005329
GA
208C00000X
Colon & Rectal Surgery Physician
Primary
38696
GA
208C00000X
Colon & Rectal Surgery Physician
—
NULL
208C00000X
Colon & Rectal Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000622916B
—
GA
05
—
300032589D
—
GA
Enumeration date
10/03/2007
Last updated
02/05/2018
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