Individual
DR. DEAN CARL BROOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D,
Contact information
Practice address
115 MAIN ST, BLACKSHEAR, GA 31516-0271
(912) 449-1477
(912) 449-1479
Mailing address
115 MAIN ST, PO BOX 271, BLACKSHEAR, GA 31516-0271
(912) 449-1477
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
048604
GA
208000000X
Pediatrics Physician
048604
GA
2080A0000X
Pediatric Adolescent Medicine Physician
048604
GA
2080P0205X
Pediatric Endocrinology Physician
048604
GA
209800000X
Legal Medicine (M.D./D.O.) Physician
Primary
048604
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00886872A
—
GA
Enumeration date
06/27/2007
Last updated
09/11/2025
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