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:
Health care specialties
| Specialty | Code | License # | 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 13th, 2026 - about 4 months 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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