Individual
KIM CHEREE BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1621 W MORRIS BLVD STE A, MORRISTOWN, TN 37813-2967
(423) 492-7100
(423) 492-8801
Mailing address
1621 W MORRIS BLVD STE A, MORRISTOWN, TN 37813-2967
(423) 492-7100
(423) 492-8801
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
9600780
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770554578
—
NC
01
—
88236
NCBCBS
—
05
—
8988236
—
NC
01
—
D7120
MEDCOST
—
05
—
Q031807
—
TN
Enumeration date
01/30/2006
Last updated
03/17/2018
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