NPI 1164698486 S BROOM ATLANTA GA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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S Broom - NPI: 1164698486

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: S BROOM
NPI Number: 1164698486
Entity Type Code: Individual (1)
Gender: M
Credentials:
License Number: 045730
Business Practice Address: 80 Jesse Hill Jr Dr Se
Atlanta, GA - 303033031
Business Phone Number: 4046161000
Business Fax Number:
Mailing Address: 80 Jesse Hill Jr Dr Se,
ATLANTA
State: GA
Postal Code: 303033031
Phone Number:
Fax Number:
NPI Enumeration Date: 05/06/2008
NPI Last Update Date: 02/05/2013
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 208D00000X
License Number: 045730
Healthcare Provider Taxonomy:
(Secondary)
Y
State: GA
Taxonomy Type: Allopathic & Osteopathic Physicians
Taxonomy Classification: General Practice
Taxonomy Specialization:
Taxonomy Definition:


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