Individual
ANNE E BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
205 ALMA ST, TUTWILER, MS 38963
(662) 345-8334
(662) 345-8336
Mailing address
PO BOX 462, 205 ALMA, TUTWILER, MS 38963
(662) 345-8334
(662) 345-8336
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10092
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115755
—
MS
Enumeration date
12/14/2006
Last updated
02/10/2015
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