Individual
DANA W. BROOKS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1123 N CHURCH ST, GREENSBORO, NC 27401-1007
(336) 832-4400
(336) 832-4440
Mailing address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 343-7000
(910) 667-5650
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2022-01026
NC
390200000X
Student in an Organized Health Care Education/Training Program
251163
NC
Other
Enumeration date
04/03/2019
Last updated
10/11/2022
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