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Individual
BROOKE B CHILDERS
Active
Individual
BROOKE B CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN161833
GA
363LA2200X
Adult Health Nurse Practitioner
RN161833
GA
363LW0102X
Women's Health Nurse Practitioner
RN161833
GA
Other
Enumeration date
02/15/2016
Last updated
05/14/2020
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