Brewer, Randall Jackson

Brewer, Randall Jackson is an individual health care provider with primary practice located at 1937 Aviara Dr , Chattanooga TN 37421. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Brewer, Randall Jackson can be contacted via phone (423) 553-6012.

Contact Information

Primary practice address
1937 Aviara Dr Chattanooga TN 37421
Phone: (423) 553-6012
Fax: (423) 490-0140
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X TN010233 Tennessee
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X GA030274 Georgia

Profile Details

NPI number 1255324810
LBN Legal business name Brewer, Randall Jackson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2005
Last updated Jul 8th, 2007 - about 19 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.

Request for update

Popular Providers