Caleb Ryan Brewer, DC | |
204 Foothill Dr, Woodstock, GA 30188-2808 | |
(843) 224-9929 | |
Not Available |
Full Name | Caleb Ryan Brewer |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 204 Foothill Dr, Woodstock, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528877164 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CHIR011326 (Georgia) | Primary |
Provider Name | Brewer Chiropractic |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1982416285 PECOS PAC ID: 7810417144 Enrollment ID: O20250218000104 |
Mailing Address | Practice Location Address |
---|---|
Caleb Ryan Brewer, DC 204 Foothill Dr, Woodstock, GA 30188-2808 Ph: (843) 224-9929 | Caleb Ryan Brewer, DC 204 Foothill Dr, Woodstock, GA 30188-2808 Ph: (843) 224-9929 |
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