Individual
SARAH J BROOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
501 MARSHALL ST, STE 208, JACKSON, MS 39202-1651
(601) 352-2273
(601) 714-3415
Mailing address
PO BOX 23996, JACKSON, MS 39225-3996
(601) 352-2273
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
08705
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00013736
—
MS
Enumeration date
08/23/2006
Last updated
07/08/2007
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