Individual
EDWARD A BREWER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3550 HIGHWAY 468 W, WHITFIELD, MS 39193-5529
(601) 351-8000
(601) 351-8031
Mailing address
PO BOX 157A, WHITFIELD, MS 39193-0157
(601) 351-8000
(601) 351-8031
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13043
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00120999
—
MS
Enumeration date
08/03/2006
Last updated
11/02/2009
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