Individual
GAYLE L BROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
113 WILLBROOK BLVD UNIT F, PAWLEYS ISLAND, SC 29585-8245
(843) 353-6015
(843) 594-5149
Mailing address
201 SIGMA DR STE 100, SUMMERVILLE, SC 29486-7722
(843) 695-6071
(843) 569-5879
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
411
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080188463
RAILROAD MEDICARE
SC
01
—
P00754401
RAILROAD MC ID-RSFPN
SC
05
—
T00111
—
SC
Enumeration date
10/18/2006
Last updated
12/13/2019
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