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Individual

DR. CHARLES HENRY BREWERTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2500 NORTH STATE STREET, DEPARTMENT OF OBSTETRICS & GYNECOLOGY/MFM DIVISION, JACKSON, MS 39216
(601) 815-9278
(601) 984-6773
Mailing address
2500 NORTH STATE STREET, DEPARTMENT OF OBSTETRICS & GYNECOLOGY/MFM DIVISION, JACKSON, MS 39216
(601) 815-9278
(601) 984-6773

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
31373
MS

Other

Enumeration date
03/24/2019
Last updated
08/02/2023
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