Organization
BREWER HEALTHCARE CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA BREWER (ONWER)
(601) 854-5044
Entity
Organization
Contact information
Practice address
610 HWY 80, PELAHATCHIE, MS 39145
(601) 854-5044
(601) 854-8448
Mailing address
PO BOX 445, PELAHATCHIE, MS 39145-0445
(601) 854-5044
(601) 854-8448
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R544787
MS
Other
Enumeration date
01/06/2010
Last updated
01/06/2010
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