Organization
ALICE J. BROOKS, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALICE JOYCE BROOKS MD (PRESIDENT)
(803) 438-6023
Entity
Organization
Contact information
Practice address
116 STANDARD WAREHOUSE RD, LUGOFF, SC 29078-9670
(803) 438-6023
(803) 438-3671
Mailing address
116 STANDARD WAREHOUSE RD, LUGOFF, SC 29078-9670
(803) 438-6023
(803) 438-3671
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
14008
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2756
—
SC
Enumeration date
05/27/2006
Last updated
06/28/2010
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