Individual
DR. STEVEN E BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-8623
(706) 721-1459
Mailing address
1120 15TH ST # OR6000, AUGUSTA, GA 30912-0004
(706) 721-3813
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
193120
NY
207W00000X
Ophthalmology Physician
Primary
38698
GA
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
193120
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00621343D
—
GA
05
—
03638731
—
NY
01
—
18BDFWQ
INDIVIDUAL MEDICARE #
GA
05
—
G38698
—
SC
05
—
GPA752
—
SC
Enumeration date
03/14/2006
Last updated
01/24/2023
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