Mcbroom, Michael J.

Mcbroom, Michael J. is an individual health care provider with primary practice located at 210 E Derenne Ave , Savannah GA 31405-6736. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mcbroom, Michael J. can be contacted via phone (912) 644-5300.

Contact Information

Primary practice address
210 E Derenne Ave Savannah GA 31405-6736
Phone: (912) 644-5300
Fax: (912) 644-5260
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 003073 Georgia

Profile Details

NPI number 1780641662
LBN Legal business name Mcbroom, Michael J.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Jan 13th, 2017 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1780641662 NPPES
Georgia MEDICAID 100002603A

Popular Providers