Individual
DR. CLIFFORD WAYNE BREWER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2800 HIGHWAY 90, SUITE 1402, GAUTIER, MS 39553-5115
(228) 497-2020
(228) 497-4820
Mailing address
2800 HIGHWAY 90, SUITE 1402, GAUTIER, MS 39553-5115
(228) 497-2020
(228) 497-4820
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
548
MS
Other
Enumeration date
09/15/2005
Last updated
07/08/2007
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