Individual
DR. NELSON SHELBY BREWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
137 BLUE HERON DR, EATONTON, GA 31024-5652
(706) 485-3645
Mailing address
137 BLUE HERON DR, EATONTON, GA 31024-5652
(706) 485-3645
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME 95508
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040874
GEORGIA LICENSE NUMBER
GA
01
—
ME95508
FLORIDA LICENSE NUMBER
FL
Enumeration date
04/12/2007
Last updated
07/08/2007
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