KENTERRIOUS BROOKS-MIMS

Contractor

Active Individual
NPI: 1073043493

Practice Address

408 POINCIANA AVE
Albany, GA 31705

Phone: (229) 255-6842

Specialties

Specialty Code Primary License
Contractor 171W00000X Yes -

Frequently Asked Questions

NPI 1073043493 is the National Provider Identifier for KENTERRIOUS BROOKS-MIMS, a Contractor provider located in Albany, GA. This NPI was enumerated on June 18, 2017.
KENTERRIOUS BROOKS-MIMS practices at 408 POINCIANA AVE, Albany, GA 31705.

Quick Facts

NPI
1073043493
Type
Individual
Enumerated
Jun 18, 2017
Last Updated
Jul 21, 2022

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