Individual
DR. STEVEN MARK BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 GORDON AVE, THOMASVILLE, GA 31792-6613
(229) 226-1200
(229) 226-4522
Mailing address
PO BOX 1059, THOMASVILLE, GA 31799-1059
(229) 226-1200
(229) 226-4522
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
035386
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000495492A
PEACH STATE
GA
05
—
000495492A
—
GA
01
—
110056362
RAILROAD MEDICARE
GA
01
—
336451
WELLCARE
GA
Enumeration date
02/28/2006
Last updated
03/18/2013
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