Dr. Dean Carl Broome
Internist Pediatrician Adolescent Medicine Pediatric Endocrinologist
115 Main St
Blackshear
, Georgia 31516-0271
Dr. Dean Carl Broome
Internist Pediatrician Adolescent Medicine Pediatric Endocrinologist
115 Main St
Blackshear
, Georgia 31516-0271
(912) 449-1477
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About
Features
Specialties
- Internist
- Pediatrician
- Adolescent Medicine
- Pediatric Endocrinologist
Languages spoken
- English
Location
First Address
- Dr. Dean Carl Broome
- 115 Main St Po Box 271
- Blackshear, GA
- Zip : 31516-0271
- Phone : (912) 449-1477
Second Address
- Dr. Dean Carl Broome
- 115 Main St
- Blackshear, GA
- Zip : 31516-0271
- Fax : (912) 449-1479
- Phone : (912) 449-1477
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 048604 | GA |
| N | 111NI0900X | Internist | 048604 | GA |
| N | 208000000X | Pediatrician | 048604 | GA |
| N | 2080A0000X | Adolescent Medicine | 048604 | GA |
| N | 2080P0205X | Pediatric Endocrinologist | 048604 | GA |
National Provider Identifier
| NPI | 1356548002 |
|---|---|
| Provider Name | Dr. Dean Carl Broome |
| First Address | Blackshear, GA 31516-0271 |
| Second Address | Blackshear, GA 31516-0271 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/06/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00886872A | (05) | GA |
| D38655 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.