Individual
DR. BYRON ANGELI BROOKS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
764 PINE ST, MACON, GA 31201
(478) 633-1056
(478) 749-9171
Mailing address
764 PINE ST, MACON, GA 31201-2107
(478) 633-1056
(478) 749-9171
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
21687
GA
207V00000X
Obstetrics & Gynecology Physician
Primary
008721
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
GA
Other
Enumeration date
03/16/2011
Last updated
08/08/2018
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