Individual
CHARLES BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
412 DEVONIA ST, HARRIMAN, TN 37748-2009
(865) 882-1323
Mailing address
12 CADILLAC DRIVE, SUITE 150, BRENTWOOD, TN 37027-5355
(615) 690-1941
(615) 690-3941
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
016587
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3094186
BCBS OF TENNESSEE
TN
05
—
3842503
—
TN
01
—
P00255506
RAILROAD MEDICARE
TN
Enumeration date
09/25/2006
Last updated
11/24/2015
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