Broom, S

Broom, S is an individual health care provider with primary practice located at 80 Jesse Hill Jr Dr Se , Atlanta GA 30303-3031. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Broom, S can be contacted via phone (404) 616-1000.

Contact Information

Primary practice address
80 Jesse Hill Jr Dr Se Atlanta GA 30303-3031
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 045730 Georgia

Profile Details

NPI number 1164698486
LBN Legal business name Broom, S
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2008
Last updated Feb 5th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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