Individual
TOMMY BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 WOODBINE AVE NW, ROME, GA 30165-2397
(706) 314-0019
Mailing address
1 WOODBINE AVENUE, DALTON, GA 30720
(706) 314-0019
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN198708
GA
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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