Individual
BROOKS BYRD KOLBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
120 E TRINITY PL, DECATUR, GA 30030-3302
(404) 378-2300
Mailing address
123 BARRINGTON DR APT 5, ATHENS, GA 30605-5226
(404) 422-2296
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/08/2020
Last updated
11/08/2020
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