Organization
S MARK BREWER & B KEITH BEVERLY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN MARK BREWER MD (PRESIDENT)
(229) 226-1200
Entity
Organization
Contact information
Practice address
900 GORDON AVE, THOMASVILLE, GA 31799
(229) 226-1200
(229) 226-4522
Mailing address
PO BOX 1059, THOMASVILLE, GA 31799
(229) 226-1200
(229) 226-4522
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG3598
RAIL ROAD MEDICARE
GA
Enumeration date
03/07/2006
Last updated
02/01/2008
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