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Individual

VIRGINIA SHEALY BROOKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
4116 ARKWRIGHT RD, MACON, GA 31210-1707
(478) 477-0601
Mailing address
314 JOE CHAMBERS RD, FORSYTH, GA 31029-2578
(478) 993-6363

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT010094
GA

Other

Enumeration date
07/29/2008
Last updated
12/05/2011
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