Individual
KIMBERLY CELESTE BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
Mailing address
3319 QUARTER HORSE LN, CONYERS, GA 30013-4400
(336) 669-0568
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
288914
NC
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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