NPI 1073043493

Kenterrious Brooks-Mims

Practitioner Contractor Albany, GA

Practice location

Address: 408 Poinciana Ave, Albany, GA 31705-4502
Phone: (229) 255-6842

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1073043493
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jun 2017
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.