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Individual

DR. JOHN HOWARD BROOKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6322 FAYETTEVILLE RD, SUITE B, RAEFORD, NC 28376-7979
(910) 878-6700
(910) 417-4120
Mailing address
6322 FAYETTEVILLE RD STE B, RAEFORD, NC 28376-7979

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
2007-01547
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
150G7
BC/BS NC PROVIDER #
05
5909948
NC
01
FH2967615
FIRSTCAROLINACARE PROVIDER #
01
N01541
SC MEDICAID PROVIDER #
SC
01
P00665198
RAILROAD MEDICARE PROV#
01
P00963701
RAILROAD MEDICARE
NC
Enumeration date
07/13/2007
Last updated
06/06/2019
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