Individual
BROOKS FORSYTHE SCHOMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
401 N MAIN ST, KENANSVILLE, NC 28349-8801
(910) 296-0942
Mailing address
6313 HAWKS BILL DR, WILMINGTON, NC 28409-9281
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-07605
NC
Other
Enumeration date
09/29/2017
Last updated
09/29/2017
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