Male or Other

Dr. Dean C. Broome M.D,

Full Name

Dr. Dean Carl Broome M.D,

NPI Number

1356548002

NPI Type

Individual Provider

Gender

Male

Enumeration Date

06/27/2007

Specialties

(Taxonomies)

Licenses

State

Georgia

License Number

048604

Contact
Information

Purpose

Mailing
Location

Address

115 MAIN ST
115 MAIN ST

City

Blackshear
Blackshear

State

GA
GA

Postal Code

31516-0271
31516-0271

Country

US
US

Telephone Number

(912) 449-1477
(912) 449-1477

Identifiers

Identifier

00886872A

Identifier State

GA

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address