| Thomas Fordham Brewer Md Pllc | |
|
613 Circle Dr Woodruff SC 29388-8428 | |
| (859) 721-1414 | |
| Not Available |
| Full Name | Thomas Fordham Brewer Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 613 Circle Dr, Woodruff, South Carolina |
| Authorized Official Name and Position | Thomas Fordham Brewer (OWNER) |
| Authorized Official Contact | 8597211414 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Fordham Brewer Md Pllc 613 Circle Dr Woodruff SC 29388-8428 Ph: () - | Thomas Fordham Brewer Md Pllc 613 Circle Dr Woodruff SC 29388-8428 Ph: (859) 721-1414 |
| NPI Number | 1740906098 |
|---|---|
| Provider Enumeration Date | 10/18/2022 |
| Last Update Date | 07/13/2023 |
| Medicare PECOS PAC ID | 2466822556 |
|---|---|
| Medicare Enrollment ID | O20230504002526 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740906098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Thomas Fordham Brewer |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1659604197 PECOS PAC ID: 4082809769 Enrollment ID: I20230504002664 |
| Provider Name | Jeanette Marjorie Shanholtzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598926230 PECOS PAC ID: 8921347568 Enrollment ID: I20230817002572 |
| Provider Name | Heather Dawn Darwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841762861 PECOS PAC ID: 6608101100 Enrollment ID: I20230824000820 |
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