Organization
BROOKHAVEN MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH BROOKS MD (PHYSICIAN)
(662) 624-5565
Entity
Organization
Contact information
Practice address
785 OHIO AVE, 2D, CLARKSDALE, MS 38614-6217
(662) 624-5565
(662) 624-9971
Mailing address
785 OHIO AVE, 2D, CLARKSDALE, MS 38614-6217
(662) 624-5565
(662) 624-9971
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00576075
—
MS
Enumeration date
02/26/2007
Last updated
08/22/2020
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