Brooks, Michael Wayne
Brooks, Michael Wayne is an individual health care provider with primary practice located at 868 York Ave Sw , Atlanta GA 30310-2750. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Brooks, Michael Wayne can be contacted via phone (404) 752-1400.Contact Information
Primary practice address
868 York Ave Sw
Atlanta GA 30310-2750
Phone: (404) 752-1400
Fax: (404) 758-0740
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology | 207KI0005X | 029420 | Georgia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 029420 | Georgia |
Profile Details
| NPI number | 1174513089 |
|---|---|
| LBN Legal business name | Brooks, Michael Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2005 |
| Last updated | Jul 15th, 2013 - about 11 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 | 1174513089 | NPPES |
| Georgia | MEDICAID | 000352811A |
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