MEDICARE: DR. WALTER SCOTT BROOKS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	12101	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326039330
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WALTER SCOTT BROOKS MD

Provider Business Mailing Address
First Line	:	550 PEACHTREE ST NE
Second Line	:	SUITE 1620
City	:	ATLANTA
State	:	GA
Zip	:	30308-2209
Country	:	US
Telephone Number	:	404-885-7701
Fax Number	:	404-885-7777

Provider Business Practice Location Address
First Line	:	35 COLLIER RD NW
Second Line	:	SUITE 535
City	:	ATLANTA
State	:	GA
Zip	:	30309-1613
Country	:	US
Telephone Number	:	404-351-9512
Fax Number	:	404-351-9815

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2005
Last Update Date	:	01/14/2011

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