Basic Information
| Provider Information | |||||||||
| NPI: | 1356378616 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BROOKER | ||||||||
| FirstName: | STUART | ||||||||
| MiddleName: | G | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2805 N HILLS DR NE | ||||||||
| Address2: | |||||||||
| City: | ATLANTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 303053209 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4048410413 | ||||||||
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| Practice Location | |||||||||
| Address1: | 69 JESSE HILL JR DR SE | ||||||||
| Address2: | DEPT OF ANESTHESIOLOGY | ||||||||
| City: | ATLANTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 303033033 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4047784852 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/26/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | 036929 | GA | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.