Individual
MEGAN BROADWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
902 N 7TH ST, CORDELE, GA 31015-3234
(229) 276-3100
Mailing address
422 LOWER REBECCA RD, FITZGERALD, GA 31750-8257
(229) 326-9451
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN283122
GA
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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