Individual
ERIN RACHAEL BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
204 W JACKSON ST STE B, RIDGELAND, MS 39157-2310
(601) 636-7222
(601) 636-0440
Mailing address
106 WINDY LAKE CIR, VICKSBURG, MS 39183-1115
(601) 415-0678
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00616
MS
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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