Brooks, Carol W

Brooks, Carol W is an individual health care provider with primary practice located at 1000 Johnson Ferry Rd , Atlanta GA 30342. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Brooks, Carol W can be contacted via phone (770) 645-9181.

Contact Information

Primary practice address
1000 Johnson Ferry Rd Atlanta GA 30342
Phone: (770) 645-9181
Fax: (770) 645-8455
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN068459 Georgia

Profile Details

NPI number 1558357269
LBN Legal business name Brooks, Carol W
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Feb 4th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558357269 NPPES
Georgia MEDICAID 000549832A
Georgia MEDICAID 000549832C
Georgia MEDICAID 000549832B

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