Individual
AMANDA BINES BREWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5436 IDLEWILD RD N, CHARLOTTE, NC 28227-1933
(704) 705-5121
Mailing address
5436 IDLEWILD RD N, CHARLOTTE, NC 28227-1933
(704) 705-5121
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
NC
Other
Enumeration date
02/21/2022
Last updated
02/21/2022
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