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Contact Information

JUSTIN T BROOKS, PA
14135 BALLANTYNE CORPORATE PL STE 100
CHARLOTTE, NC28277-3668
 Phone: 704-831-4300
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JUSTIN T BROOKS · (Male)

NPI # 1811207335
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 10/18/2010
Last updated 09/12/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NC License # 0010-02584
  • NC License # 001002584
Hospital affiliation(s)
  • CAROLINAS MEDICAL CENTER/BEHAV HEALTH - (Acute Care)
    1000 BLYTHE BLVD
    CHARLOTTE, NC 28203
  • PIEDMONT MEDICAL CENTER - (Acute Care)
    222 S HERLONG AVE
    ROCK HILL, SC 29730
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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