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Individual

ASHLEY SCOTT BREWER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
620 SKYLINE DR, JACKSON, TN 38301-3923
(731) 541-4923
Mailing address
620 SKYLINE DR, JACKSON, TN 38301-3923
(731) 541-4923

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
44878
TN
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
44878
TN
207QG0300X
Geriatric Medicine (Family Medicine) Physician
44878
TN
208M00000X
Hospitalist Physician
44878
TN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1514095
TN
Enumeration date
03/05/2007
Last updated
06/11/2025
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