Individual
DR. JACKIE KEVIN BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3231 GLYNN AVE, BRUNSWICK, GA 31520-4851
(912) 265-9006
(912) 265-7200
Mailing address
3231 GLYNN AVE, BRUNSWICK, GA 31520-4851
(912) 265-9006
(912) 265-7200
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
052148
GA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
052148
GA
Other
Enumeration date
10/13/2005
Last updated
08/09/2007
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