Individual
DR. THOMAS LEE BROOKS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9863 MAIN ST N, NAHUNTA, GA 31553-6123
(912) 462-5610
(912) 462-6405
Mailing address
PO BOX 586, NAHUNTA, GA 31553-0586
(912) 462-5610
(912) 462-6405
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN10534
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003129162B
—
GA
Enumeration date
07/12/2012
Last updated
02/14/2017
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