Individual
CARSON BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
579 MOCKINGBIRD RD, ABBEVILLE, GA 31001-6137
(229) 322-9683
Mailing address
579 MOCKINGBIRD RD, ABBEVILLE, GA 31001-6137
(229) 322-9683
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
027437
GA
Other
Enumeration date
02/12/2017
Last updated
02/12/2017
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