NPI | 1396055091 |
---|---|
Doing Business As | BROOKSTONE INTERNAL MEDICINE |
Entity Type | Organization |
Authorized Contact | SAMANTHA LYN BOROUGHS CEO 706-987-7509 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 54794) |
Enumeration Date | 2010-10-14 |
Last Update Date | 2022-08-08 |