Thomas Fordham Brewer Md Pllc | |
613 Circle Dr Woodruff SC 29388-8428 | |
(859) 721-1414 | |
Not Available |
Full Name | Thomas Fordham Brewer Md Pllc |
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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 |
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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 |
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Provider Enumeration Date | 10/18/2022 |
Last Update Date | 07/13/2023 |
Medicare PECOS PAC ID | 2466822556 |
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Medicare Enrollment ID | O20230106000361 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740906098 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Thomas Fordham Brewer |
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Provider Type | Practitioner - Preventive Medicine |
Provider Identifiers | NPI Number: 1659604197 PECOS PAC ID: 4082809769 Enrollment ID: I20230106000391 |
Medical Group Of The Carolinas - Family Medicine - Woodruff Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 511 Cross Anchor Hwy, Woodruff, SC 29388 Phone: 864-278-6031 Fax: 864-560-5195 | |
Woodruff Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 220 Irby St, Woodruff, SC 29388 Phone: 864-582-2411 Fax: 864-670-9414 | |
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