Individual
DR. CLYDE L BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
521 MOYE BLVD, ECU PHYSICIANS, GREENVILLE, NC 27834-4300
(252) 744-3229
(252) 744-3924
Mailing address
P.O. BOX 751069, CHARLOTTE, NC 28275-1069
(252) 744-3258
(252) 744-3194
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
32224
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110176310
RAILROAD MEDICARE
NC
01
—
11605
BCBS NC
NC
05
—
8911605
—
NC
Enumeration date
07/01/2005
Last updated
01/09/2009
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