Individual
MR. RANDALL JACKSON BREWER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1937 AVIARA DR, CHATTANOOGA, TN 37421
(423) 553-6012
(423) 490-0140
Mailing address
1937 AVIARA DR, CHATTANOOGA, TN 37421
(423) 553-6012
(423) 490-0140
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
GA030274
GA
2084P0800X
Psychiatry Physician
Primary
TN010233
TN
Other
Enumeration date
08/29/2005
Last updated
07/08/2007
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