Individual
MICHAEL WAYNE BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
868 YORK AVE SW, ATLANTA, GA 30310-2750
(404) 752-1400
(404) 758-0740
Mailing address
868 YORK AVE SW, ATLANTA, GA 30310-2750
(404) 752-1400
(404) 758-0740
Taxonomy
Speciality
Code
Description
License number
State
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
029420
GA
207R00000X
Internal Medicine Physician
Primary
029420
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000352811A
—
GA
Enumeration date
10/24/2005
Last updated
07/15/2013
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