Individual
EMILY LAUREN BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 ELLIS WAY, MACON, GA 31216-6278
(478) 737-5288
Mailing address
104 ELLIS WAY, MACON, GA 31216-6278
(478) 737-5288
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN268893
GA
Other
Enumeration date
10/28/2020
Last updated
11/03/2020
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