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Individual

BROOKE B CHILDERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
220 J L WHITE DR STE 120, JASPER, GA 30143-4894
(706) 692-3539
Mailing address
35 W CHURCH ST STE 101, JASPER, GA 30143-1618
(706) 253-2828
(706) 253-2829

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN161833
GA
363LA2200X
Adult Health Nurse Practitioner
RN161833
GA
363LW0102X
Women's Health Nurse Practitioner
RN161833
GA

Other

Enumeration date
02/15/2016
Last updated
05/14/2020
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