Brooks, Dana Lynn
Brooks, Dana Lynn is an sole proprietor health care provider with primary practice located at 303 Smith Street Emory Clark-Holder Clinic, Lagrange GA 30240. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Brooks, Dana Lynn can be contacted via phone (706) 882-8831.Contact Information
Primary practice address
303 Smith Street Emory Clark-Holder Clinic
Lagrange GA 30240
Phone: (706) 882-8831
Fax: (706) 812-4280
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN132926 | Georgia |
Profile Details
| NPI number | 1487981312 |
|---|---|
| LBN Legal business name | Brooks, Dana Lynn |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 13th, 2009 |
| Last updated | Jun 24th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487981312 | NPPES |
| Georgia | MEDICAID | 291936132A |
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