Individual
SHARON K BROOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4226 HARTLEY BRIDGE RD, SUITE 104, MACON, GA 31216-4115
(478) 781-5065
(478) 781-0012
Mailing address
4226 HARTLEY BRIDGE RD, SUITE 104, MACON, GA 31216-4115
(478) 781-5065
(478) 781-0012
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN040914 NP
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00873914A
—
GA
Enumeration date
11/07/2006
Last updated
11/21/2013
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