Individual
DAVID JAMES BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1665 S GREEN ST, TUPELO, MS 38804-6556
(662) 377-2189
(662) 377-2263
Mailing address
450 E PRESIDENT AVE, TUPELO, MS 38801-5599
(662) 377-2189
(662) 377-2263
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14205
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115614
—
MS
Enumeration date
06/02/2006
Last updated
10/19/2007
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