Individual
JAY BROUWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
509 BILTMORE AVE, ASHEVILLE, NC 28801-4601
(828) 213-1948
Mailing address
3852 GOLDEN RD, LAKE TOXAWAY, NC 28747-6750
(317) 443-8702
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-09559
NC
363AM0700X
Medical Physician Assistant
0010-09559
NC
363AS0400X
Surgical Physician Assistant
0010-09559
NC
Other
Enumeration date
10/15/2019
Last updated
10/16/2019
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