Individual
COURTNEY BROOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1205 TIFT AVE N, TIFTON, GA 31794-4033
(229) 391-9281
Mailing address
68 RICHARDS DR APT 20, TIFTON, GA 31794-1683
(229) 344-7348
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN223718
GA
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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