Individual
SOPHIE BREMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1503 W ELK AVE STE 5, ELIZABETHTON, TN 37643-2883
(423) 543-8124
Mailing address
1503 W ELK AVE STE 5, ELIZABETHTON, TN 37643-2883
(423) 543-8124
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
SC
363A00000X
Physician Assistant
Primary
—
TN
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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