Individual
CHANTAL BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
255 W BUTE ST, NORFOLK, VA 23510-1403
(757) 627-3790
(757) 623-5023
Mailing address
255 W BUTE ST, NORFOLK, VA 23510-1403
(757) 627-3790
(757) 623-5023
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101033987
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006046851
—
VA
Enumeration date
08/04/2006
Last updated
06/01/2012
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