Individual
RICHARD GEORGE BREWER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
2 PROFESSIONAL PARK DR STE 21, JOHNSON CITY, TN 37604-6584
(423) 379-8120
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699
(423) 379-8120
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
30871
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q073274
—
TN
Enumeration date
12/13/2021
Last updated
01/16/2024
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