Individual
BROOKE CORNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
705 DIXIE ST, CARROLLTON, GA 30117-3818
(770) 812-9561
Mailing address
705 DIXIE ST, CARROLLTON, GA 30117-3818
(770) 812-9561
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
RN245090
GA
Other
Enumeration date
10/20/2025
Last updated
10/20/2025
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