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:
Health care specialties
Specialty | Code | License # | 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 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1619183340 | NPPES |
Georgia | MEDICAID | 715148338A | |
Georgia | Other | 11D0941435 | |
Georgia | Other | 385393 | |
Georgia | Other | RN10167 |
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