Brooks, Jackie Kevin
Brooks, Jackie Kevin is an individual health care provider with primary practice located at 3231 Glynn Ave , Brunswick GA 31520-4851. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Brooks, Jackie Kevin can be contacted via phone (912) 265-9006.Contact Information
Primary practice address
3231 Glynn Ave
Brunswick GA 31520-4851
Phone: (912) 265-9006
Fax: (912) 265-7200
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 052148 | Georgia |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 052148 | Georgia |
Profile Details
| NPI number | 1366430233 |
|---|---|
| LBN Legal business name | Brooks, Jackie Kevin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2005 |
| Last updated | Aug 9th, 2007 - about 19 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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