| NPI | 1356122303 |
|---|---|
| Former Name | REBECCA BROOKE SCROGGIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: GA APRN-NP254434) |
| Enumeration Date | 2023-10-06 |
| Last Update Date | 2025-10-20 |