Individual
MR. JUSTIN FORD BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1720 SPRING HILL AVE STE 3, MOBILE, AL 36604-1410
(251) 435-2663
(251) 435-1098
Mailing address
1720 SPRING HILL AVE STE 3, MOBILE, AL 36604-1410
(251) 435-2663
(251) 435-1098
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA551
AL
363AS0400X
Surgical Physician Assistant
PA551
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
631174582
TAX ID
AL
Enumeration date
08/07/2007
Last updated
01/11/2024
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