Individual
HAILEY BROCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1120 15TH ST, BA - 4236, AUGUSTA, GA 30912-0004
(706) 627-0767
Mailing address
1120 15TH ST, BA - 4236, AUGUSTA, GA 30912-0004
(706) 627-0767
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
207596
GA
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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