Brewer, Angela Marie

Brewer, Angela Marie is an individual health care provider with primary practice located at 2010 Ocilla Rd , Douglas GA 31533-2230. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Brewer, Angela Marie can be contacted via phone (912) 384-2500.

Contact Information

Primary practice address
2010 Ocilla Rd Douglas GA 31533-2230
Phone: (912) 384-2500
Fax: (912) 383-6788
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN101667 Georgia

Profile Details

NPI number 1619183340
LBN Legal business name Brewer, Angela Marie
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2007
Last updated Jul 2nd, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619183340 NPPES
Georgia MEDICAID 715148338A
Georgia Other 11D0941435
Georgia Other 385393
Georgia Other RN10167

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