Organization
BROOKS CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY CUSTOMS (CEO)
(615) 934-9001
Entity
Organization
Contact information
Practice address
2120 CRESTMOOR RD, NASHVILLE, TN 37215-2654
(615) 934-9001
Mailing address
2120 CRESTMOOR RD, NASHVILLE, TN 37215-2654
(615) 934-9001
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
15976
TN
Other
Enumeration date
08/01/2012
Last updated
09/18/2012
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