Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 2008-00414 | NC |
Y | 207XS0117X | Orthopaedic Spine Surgeon | 2008-00414 | NC |
NPI | 1346224599 |
---|---|
Provider Name | Dr. Dahari D Brooks |
First Address | Greensboro, NC 27438-8008 |
Second Address | Greensboro, NC 27408-7616 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2005 |
Last Update Date | 15/03/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2021973 | (02) | NC |
5908934 | (05) | NC |