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NPI Code Detail

MEDICARE: MEGHAN CLAIR BROOKS PA

MEDICARE: MEGHAN CLAIR BROOKS PA
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
1363A00000XPhysician Assistant006681GA

General Provider Information

NPI Number : 1518204106
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGHAN CLAIR BROOKS PA
Provider Business Mailing Address
First Line : 1804 WILDWOOD AVE
Second Line :
City : COLUMBUS
State : GA
Zip : 31906-1420
Country : US
Telephone Number : 706-536-7667
Fax Number :
Provider Business Practice Location Address
First Line : 3702 2ND AVE
Second Line :
City : COLUMBUS
State : GA
Zip : 31904-7408
Country : US
Telephone Number : 706-507-9209
Fax Number : 706-507-9249
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2013
Last Update Date : 01/20/2016

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Directions to “ MEGHAN CLAIR BROOKS PA” Practice Location

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