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Dr. D Hodari Brooks

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NPI Number Detailed Information

Provider Information:

Name: Dr. D Hodari Brooks
Gender: M
Provider License Number If Given: 56090

NPI Information:

NPI: 1063415016
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/23/2005

Last Update Date: 11/13/2014

Provider Business Mailing Address:

Address: 900 CIRCLE 75 PKWY SE SUITE 1700
Atlanta, GA 30339
Phone Number: 7709536929
Fax Number: 7709536972

Provider Business Practice Location Address:

Address: 3672 MARATHON CIR SUITE 200
Austell, GA 30106
Phone Number: 7709443303
Fax Number: 7709440285

Provider Taxonomy:

Primary: 207X00000X
Secondary (if any): 207XS0114X
State: GA

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