Provider Demographics
NPI:1912264268
Name:BROOKINS, SHARICA (MD)
Entity Type:Individual
Prefix:DR
First Name:SHARICA
Middle Name:
Last Name:BROOKINS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:607 RONALD REAGAN DR UNIT 691
Mailing Address - Street 2:
Mailing Address - City:EVANS
Mailing Address - State:GA
Mailing Address - Zip Code:30809-7728
Mailing Address - Country:US
Mailing Address - Phone:833-543-6398
Mailing Address - Fax:833-543-6398
Practice Address - Street 1:1253 ARCILLA PT
Practice Address - Street 2:
Practice Address - City:MARTINEZ
Practice Address - State:GA
Practice Address - Zip Code:30907-9297
Practice Address - Country:US
Practice Address - Phone:833-543-6398
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-11
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA78606207RN0300X
GA078606207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology