Individual
JEANNE QUARLES BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7590 HOSPITAL DR, STE 204, GLOUCESTER, VA 23061-4178
(804) 693-5560
(804) 693-0457
Mailing address
856 J CLYDE MORRIS BLVD, STE A, NEWPORT NEWS, VA 23601-1318
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101048702
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306804844
—
VA
Enumeration date
05/03/2006
Last updated
09/30/2013
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