Brooks, Robert Lee

Brooks, Robert Lee is an individual health care provider with primary practice located at 6018 Wellborn Trail , Lithonia GA 30058. He recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as his primary health care specialty. Brooks, Robert Lee can be contacted via phone (404) 821-6121.

Contact Information

Primary practice address
6018 Wellborn Trail Lithonia GA 30058
Phone: (404) 821-6121
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X CN0030005255 Georgia

Profile Details

NPI number 1093073124
LBN Legal business name Brooks, Robert Lee
Credentials Certified in Nursing Administration (CNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2012
Last updated Apr 26th, 2012 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093073124 NPPES
Georgia MEDICAID 251TOOOOOX
Georgia MEDICAID 376K00000X
Georgia MEDICAID 347C00000X
Georgia MEDICAID 372600000X
Georgia MEDICAID 374U00000X
Georgia MEDICAID 343900000X

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