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Individual

KENDALL STUART BREWER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
311 WEST 8TH STREET, ROME, GA 30165-2723
(706) 291-8702
(706) 291-6514
Mailing address
311 WEST 8TH STREET, ROME, GA 30165-2723
(706) 291-8702
(706) 291-6514

Taxonomy

Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
92954
GA
207ZC0500X
Cytopathology Physician
MD.44534
AL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
35.138546
OH
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
92954
GA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD.44534
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003272587A
GA
Enumeration date
06/10/2015
Last updated
01/25/2023
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