Individual
HEATHER BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
305 WHITTINGTON DR, MACON, GA 31216-6585
(678) 873-8169
Mailing address
305 WHITTINGTON DR, MACON, GA 31216-6585
(678) 873-8169
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95000475
CA
Other
Enumeration date
02/20/2016
Last updated
02/20/2016
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