| Alice J. Brooks, Md, Pa | |
|
116 Standard Warehouse Rd Lugoff SC 29078-9670 | |
| (803) 438-6023 | |
| (803) 438-3671 |
| Full Name | Alice J. Brooks, Md, Pa |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 116 Standard Warehouse Rd, Lugoff, South Carolina |
| Authorized Official Name and Position | Alice Joyce Brooks (PRESIDENT) |
| Authorized Official Contact | 8034386023 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alice J. Brooks, Md, Pa 116 Standard Warehouse Rd Lugoff SC 29078-9670 Ph: (803) 438-6023 | Alice J. Brooks, Md, Pa 116 Standard Warehouse Rd Lugoff SC 29078-9670 Ph: (803) 438-6023 |
| NPI Number | 1093762171 |
|---|---|
| Provider Enumeration Date | 05/27/2006 |
| Last Update Date | 06/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093762171 | NPI | - | NPPES |
| GP2756 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 14008 (South Carolina) | Primary |
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