institution
Alice J. Brooks, Md, Pa
Primary Care Clinic/Center in Lugoff, South Carolina
NPI 1093762171

Alice J. Brooks, Md, Pa is a Primary Care Clinic/Center based in Lugoff, SC and is specialized in Primary Care. Alice J. Brooks, Md, Pa practices in Lugoff, SC. The NPI Number for Alice J. Brooks, Md, Pa is 1093762171 and holds a License No. 14008 (South Carolina).

The current practice location address for Alice J. Brooks, Md, Pa is 116 Standard Warehouse Rd, Lugoff, SC and can be reached out via phone at 803-438-6023 and via fax at 803-438-3671.

Location: 116 Standard Warehouse Rd, Lugoff, SC, 29078-9670
institution
Provider Profile Details
NPI Number
1093762171
Provider Name
Alice J. Brooks, Md, Pa
Credential
Provider Entity Type
Organization
Address
116 Standard Warehouse Rd, Lugoff, SC, 29078-9670
Phone Number
803-438-6023
Fax Number
803-438-3671
Provider Enumeration Date
05/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GP2756 05 SC
institution
Provider Business Practice Location Address Details
Address
116 Standard Warehouse Rd
City
State
Zip
29078-9670
Phone Number
803-438-6023
Fax Number
803-438-3671
person
Provider Business Mailing Address Details
Address
116 Standard Warehouse Rd
City
State
Zip
29078-9670
Phone Number
803-438-6023
Fax Number
803-438-3671
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
14008 (South Carolina)
Definition
Definition to come...
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