Individual
BROOKE PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
4005 FAYETTEVILLE RD, RAEFORD, NC 28376-8058
(910) 848-5437
Mailing address
4005 FAYETTEVILLE RD, RAEFORD, NC 28376-8058
(910) 848-5437
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-15997
NC
Other
Enumeration date
11/04/2025
Last updated
11/04/2025
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