Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 23875 | SC |
NPI | 1003829714 |
---|---|
Provider Name | Argiri X Brook |
First Address | Atlanta, GA 30374-3904 |
Second Address | Columbia, SC 29203-6883 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2006 |
Last Update Date | 23/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
238754 | (05) | SC |