Jackie Kevin Brooks in Brunswick - Sports Medicine

Jackie Kevin Brooks - NPI 1366430233

Jackie Kevin Brooks is a Sports Medicine in Brunswick, Georgia. Jackie Kevin Brooks practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Jackie Kevin Brooks is 1366430233. The last update date is 2007-08-09.

Jackie Kevin Brooks's current location address is 3231 Glynn Ave, Brunswick, Georgia. You can contact this provider via phone number 9122659006 and fax number 9122657200. The mailing address for Jackie Kevin Brooks is 3231 Glynn Ave, Brunswick, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Jackie Kevin Brooks
Address 3231 Glynn Ave, Brunswick, Georgia
Phone Number 9122659006
Fax Number 9122657200
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1366430233
Provider Enumeration Date 2005-10-13
Last Updated Date 2007-08-09

Provider Mailing Address Detail

Address 3231 Glynn Ave
City Brunswick
State Georgia (GA)
Post Code 315204851
Phone Number 9122659006
Fax Number 9122657200

Provider's Primary Taxonomy Detail

Speciality Sports Medicine
Taxonomy 207Xx0005X
Licence No 52148
Definition:
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train

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FAQs about Jackie Kevin Brooks

What is the unique 10-digit identification code assigned to Jackie Kevin Brooks by the Centers for Medicare & Medicaid Services?

The Jackie Kevin Brooks has been issued the NPI (National Provider Identifier) 1366430233, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Jackie Kevin Brooks's facilities are geographically located?

The facilities of Jackie Kevin Brooks are physically situated at the following location: 3231 Glynn Ave, Brunswick, GA, 315204851.

What is Jackie Kevin Brooks's area of expertise and its corresponding taxonomy classification?

The Jackie Kevin Brooks's field of specialization is Sports Medicine, and it falls under the taxonomy code 207Xx0005X, which categorizes healthcare providers based on their areas of practice.

On what date did the Jackie Kevin Brooks receive its 1366430233 assignment from the Centers for Medicare & Medicaid Services?

The Jackie Kevin Brooks was assigned its 1366430233 by the Centers for Medicare & Medicaid Services on 2005-10-13.

When was the information pertaining to Jackie Kevin Brooks most recently updated or revised?

The details related to Jackie Kevin Brooks, including its address, specialty, and other relevant information, were last updated or revised on 2007-08-09.

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