Individual
JAMES CHARLES BROADFOOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
414 PENDLETON PL, VALDOSTA, GA 31602-2603
(229) 244-3700
(229) 247-0373
Mailing address
414 PENDLETON PL, VALDOSTA, GA 31602-2603
(229) 244-3700
(229) 247-0373
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN013666
GA
Other
Enumeration date
11/21/2007
Last updated
11/21/2007
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