Individual
DR. SALLY HOTARD BREWSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5825 AIRLINE HWY, BATON ROUGE, LA 70805-2408
(985) 966-5220
Mailing address
224 WHISPERING LN, MADISONVILLE, LA 70447-9347
(985) 845-9766
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
023029
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1483290
—
LA
01
—
MD023029
MEDICAL LICENSE
LA
Enumeration date
03/12/2007
Last updated
12/17/2008
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