Healthcare Provider Details

I. General information

NPI: 1922942606
Provider Name (Legal Business Name): SHANI BROOKS MBBS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2026
Last Update Date: 04/15/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DOCTORS HOSPITAL OF AUGUSTA 3651 WHEELER ROAD
AUGUSTA GA
30909
US

IV. Provider business mailing address

DOCTORS HOSPITAL OF AUGUSTA 3651 WHEELER ROAD
AUGUSTA GA
30909
US

V. Phone/Fax

Practice location:
  • Phone: 706-951-9294
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: