Individual
SAMMY LEE BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS ST
Contact information
Practice address
270 CARPENTER DR STE 400, SANDY SPRINGS, GA 30328-4933
(678) 460-0345
(678) 460-0350
Mailing address
365 BRANDON MILL CIR, FAYETTEVILLE, GA 30214-1260
(404) 895-8163
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
052617117
DRIVERS LICENSE
GA
Enumeration date
09/13/2017
Last updated
06/16/2018
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