Individual
HAIDY M BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5885 GLENRIDGE DR STE 100, ATLANTA, GA 30328-5572
(188) 890-8055
(720) 598-0440
Mailing address
55 WHITCHER STREET, SUITE 350, MARIETTA, GA 30060-1129
(770) 424-6893
(770) 424-9095
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004751
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
781124758B
—
GA
05
—
781124758C
—
GA
05
—
781124758D
—
GA
05
—
781124758E
—
GA
05
—
781124758F
—
GA
Enumeration date
09/27/2006
Last updated
08/25/2021
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