Individual
DR. RICHARD FERRELL BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
101 NORTHSIDE DR, C, VALDOSTA, GA 31602-1724
(229) 247-2225
(229) 247-2295
Mailing address
101 NORTHSIDE DR, C, VALDOSTA, GA 31602-1724
(229) 247-2225
(229) 247-2295
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN007027
GA
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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