Individual
DR. MARY ELLEN ELIZABETH BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
701 GROVE RD, GREENVILLE, SC 29605
(864) 797-7875
(864) 527-8501
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
(864) 797-6308
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
41010
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300005183
—
NH
Enumeration date
10/03/2006
Last updated
06/22/2018
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