Individual
DR. TARA LYNN BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1536 EISENHOWER PKWY, MACON, GA 31206-3130
(478) 781-4333
(478) 781-4331
Mailing address
1046 RIDGE AVE SW, ATLANTA, GA 30315-1640
(404) 688-1350
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11744
GA
Other
Enumeration date
01/29/2007
Last updated
04/20/2016
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