Individual
MRS. GEORGIA MARIE BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
4065 CONGAREE DRIVE, INDIANAPOLIS, IN 46235
(317) 869-0156
Mailing address
4065 CONGAREE DRIVE, INDIANAPOLIS, IN 46235
(317) 869-0156
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28085743A
IN
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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