S Broom is a General Practice Physician based in Atlanta, GA. S Broom practices in Atlanta, GA. The NPI Number for S Broom is 1164698486 and holds a License No. 045730 (Georgia).
The current practice location address for S Broom is 80 Jesse Hill Jr Dr Se, Atlanta, GA and can be reached out via phone at 404-616-1000.
Location: 80 Jesse Hill Jr Dr Se, Atlanta, GA, 30303-3031
Provider Profile Details
NPI Number
1164698486
Provider Name
S Broom
Credential
Provider Entity Type
Individual
Gender
Male
Address
80 Jesse Hill Jr Dr Se, Atlanta, GA, 30303-3031
Phone Number
404-616-1000
Fax Number
Provider Enumeration Date
05/06/2008
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
80 Jesse Hill Jr Dr Se
City
State
Zip
30303-3031
Phone Number
404-616-1000
Fax Number
Provider Business Mailing Address Details
Address
80 Jesse Hill Jr Dr Se
City
State
Zip
30303-3031
Phone Number
404-616-1000
Fax Number
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
045730 (Georgia)
Definition
Definition to come...
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