Carson Brooks
Individual provider Active NPI Pharmacist · Abbeville, GA
NPI 1508304437 · NPPES record last updated Feb 12, 2017
Key facts
- NPI
- 1508304437
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 027437 (GA)
- Practice address
- 579 Mockingbird Rd
Abbeville, GA 31001-6137 - Phone
- (229) 322-9683
- NPI assigned
- Feb 12, 2017
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027437 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brooks RX LLC | Current | Accepting new patients | |
| Brooks RX LLC | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 027437 | GA | Yes |
Addresses
Primary practice location
579 Mockingbird Rd
Abbeville, GA 31001-6137
Mailing address
579 Mockingbird Rd
Abbeville, GA 31001-6137
Phone (229) 322-9683
Other providers in Abbeville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.