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Organization

BROOK HEALTHCARE CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TOCHUKWU IKEJIANI MD (PRESIDENT)
(615) 867-4753
Entity
Organization

Contact information

Practice address
826 MEMORIAL BLVD, SUITE 104, MURFREESBORO, TN 37129-2738
(615) 867-4753
(615) 867-0177
Mailing address
PO BOX 330638, MURFREESBORO, TN 37133-0638
(615) 867-4753
(615) 867-0177

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34072
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3886850
TN
01
4070446
BLUECROSS BLUESHIELD
TN
01
4089201
TENNCARE SELECT
TN
01
8490876
CIGNA HMO
TN
01
P00035887
MADICARE RAILROAD
TN
Enumeration date
09/07/2007
Last updated
09/10/2007
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