Individual
KEANTHONY DARNELL BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
31 HICKORY HEIGHTS DR, PHENIX CITY, AL 36870-2396
(229) 514-8752
Mailing address
31 HICKORY HEIGHTS DR, PHENIX CITY, AL 36870-2396
(229) 514-8752
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/16/2021
Last updated
03/16/2021
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