Individual
DANA LYNN BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
303 SMITH STREET, EMORY CLARK-HOLDER CLINIC, LAGRANGE, GA 30240
(706) 882-8831
(706) 812-4280
Mailing address
303 SMITH STREET, EMORY CLARK-HOLDER CLINIC, LAGRANGE, GA 30240
(706) 882-8831
(706) 812-4280
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN132926
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291936132A
—
GA
Enumeration date
11/13/2009
Last updated
06/24/2011
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