Individual
JEFFREY LYNN BREWSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
282 SERENITY LOOP, CATAULA, GA 31804-2367
(762) 207-9041
Mailing address
282 SERENITY LOOP, CATAULA, GA 31804-2367
(762) 207-9041
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
052896
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
977818814A
—
GA
05
—
977818814B
—
GA
05
—
977818814C
—
GA
05
—
977818814D
—
GA
Enumeration date
10/24/2006
Last updated
08/28/2013
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