Individual
MS. ANGELA BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
600 MOYE BLVD, GREENVILLE, NC 27834-4300
(252) 744-2900
(252) 744-2900
Mailing address
PO BOX 8423, GREENVILLE, NC 27835-8423
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
102669
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598721789
—
NC
Enumeration date
04/25/2006
Last updated
03/25/2014
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