Individual
MARTHA J BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2655 NORTHWINDS PKWY, JACKSON SURGICAL ASSISTANTS BILLING, ALPHARETTA, GA 30009-2280
(877) 230-9617
(877) 281-8770
Mailing address
2655 NORTHWINDS PKWY, JACKSON SURGICAL ASSISTANTS BILLING, ALPHARETTA, GA 30009-2280
(877) 230-9617
(877) 281-8770
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
06293R
LA
207VG0400X
Gynecology Physician
71211
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1359513
—
LA
05
—
159580001
—
AR
Enumeration date
10/13/2006
Last updated
10/01/2014
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