| Courtney C. Brooks Jr., M.d., P.c. | |
|
600 Professional Dr Suite 170 Lawrenceville GA 30045-7651 | |
| (770) 962-6015 | |
| Not Available |
| Full Name | Courtney C. Brooks Jr., M.d., P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 600 Professional Dr, Lawrenceville, Georgia |
| Authorized Official Name and Position | Courtney Brooks (PRESIDENT) |
| Authorized Official Contact | 7709626015 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Courtney C. Brooks Jr., M.d., P.c. 600 Professional Dr Suite 170 Lawrenceville GA 30045-7651 Ph: () - | Courtney C. Brooks Jr., M.d., P.c. 600 Professional Dr Suite 170 Lawrenceville GA 30045-7651 Ph: (770) 962-6015 |
| NPI Number | 1841498151 |
|---|---|
| Provider Enumeration Date | 07/08/2007 |
| Last Update Date | 12/08/2007 |
| Medicare PECOS PAC ID | 0941476162 |
|---|---|
| Medicare Enrollment ID | O20120110000148 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841498151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 025949 (Georgia) | Primary |
| Provider Name | Courtney Brooks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831298231 PECOS PAC ID: 4284800418 Enrollment ID: I20120110000225 |
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