Individual
MR. ROBERT LEE BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNA
Contact information
Practice address
6018 WELLBORN TRAIL, LITHONIA, GA 30058
(404) 821-6121
Mailing address
6018 WELLBORN TRAIL, LITHONIA, GA 30058
(404) 821-6121
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
CN0030005255
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251TOOOOOX
—
GA
05
—
343900000X
—
GA
05
—
347C00000X
—
GA
05
—
372600000X
—
GA
05
—
374U00000X
—
GA
05
—
376K00000X
—
GA
Enumeration date
04/26/2012
Last updated
04/26/2012
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