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Individual

DR. BROOKS V MONAGHAN JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
226 BETHLEHEM ST, HOLLY SPRINGS, MS 38635
(662) 252-1674
(662) 252-5005
Mailing address
PO BOX 188, HOLLY SPRINGS, MS 38635-0188
(662) 252-1674
(662) 252-5005

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5135
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0014298
MS
Enumeration date
08/29/2006
Last updated
07/08/2007
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