Individual
JESSILEE GABRIELLE BROOKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1108 MADISON AVE N, DOUGLAS, GA 31533-2802
(912) 384-4432
Mailing address
1108 MADISON AVE N, DOUGLAS, GA 31533-2802
(912) 384-4432
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DNO16039
GA
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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