Individual
DR. JORDAN BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
124 CARTERET RD, BRUNSWICK, GA 31525-3028
(912) 480-0474
(912) 257-4148
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
4301113739
MI
207N00000X
Dermatology Physician
Primary
98182
GA
207ND0101X
MOHS-Micrographic Surgery Physician
4301113739
MI
Other
Enumeration date
04/16/2014
Last updated
10/09/2024
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