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Individual

BROOKE AUGUSTIN-COLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1255 HIGHWAY 54 W, FAYETTEVILLE, GA 30214-4526
(770) 719-6911
Mailing address
2608 DANFORTH LN, DECATUR, GA 30033-2213
(651) 238-6659

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
76290
GA
207P00000X
Emergency Medicine Physician
MD.34125
AL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/27/2012
Last updated
12/03/2018
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