Individual
BROOKE DEVERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1335 GA HIGHWAY 57, TOWNSEND, GA 31331-8130
(912) 832-5473
(912) 832-5509
Mailing address
150 SCRANTON CONNECTOR, BRUNSWICK, GA 31525-0540
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN204429
GA
Other
Enumeration date
11/10/2014
Last updated
11/10/2014
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