Individual
HAROLD BERNARD BREWER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.B.O.C.
Contact information
Practice address
1171 JOHNS MAYTON RD, BRANDON, MS 39042-8364
(601) 519-8209
Mailing address
PO BOX 430, BRANDON, MS 39043-0430
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006574
AMERICAN BOARD OF OPTICIANRY
MS
Enumeration date
03/12/2013
Last updated
04/03/2014
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