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)Name
Code
207R00000X
209800000X
2080A0000X
2080P0205X
208000000X
Primary Taxonomy
No
No
No
No
No
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