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Individual

DR. MARTY CHADWICK BREWER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
711 COX CREEK PKWY, FLORENCE, AL 35630-1001
(256) 766-3139
(256) 760-1849
Mailing address
711 COX CREEK PKWY, FLORENCE, AL 35630-1001
(256) 766-3139
(256) 760-1849

Taxonomy

Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
S-A64-TA-625
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
051554085
AL
Enumeration date
08/25/2006
Last updated
03/01/2010
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