Individual provider · NPI-1
Amber Lucille Brewster, MD
Family Medicine · La Mesa, CA
NPI number1821653262
StatusActive
Last updated in NPPESMar 14, 2024
Details
- NPI
- 1821653262
- Entity type
- Individual (NPI-1)
- Name
- Amber Lucille Brewster
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 1, 2019
- Certification date
- Mar 14, 2024
- Last updated
- Mar 14, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | A190634 | CA | Yes |
| 207Q00000X | Family Medicine | 202301998 | NC |
Practice location
5525 Grossmont Center DrLa Mesa, CA 91942-3009
Phone 619-740-6000
Mailing address
215 Brightwater DriveLillington, NC 27546-5156
Phone 910-892-1000
Other practice locations
800 Tilghman Dr
Dunn, NC 28334-5510
Dunn, NC 28334-5510
Phone 910-892-1000
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