Individual
CAMILLE ELIZABETH BROOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA, MPH
Contact information
Practice address
264 THETFORD ST STE 120, ASHEVILLE, NC 28803-5065
(828) 378-5620
(828) 378-5629
Mailing address
PO BOX 604333, CHARLOTTE, NC 28260-4333
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-12286
NC
363A00000X
Physician Assistant
PA.200696
LA
363AS0400X
Surgical Physician Assistant
0010-12286
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00277559
—
MS
05
—
2366084
—
LA
Enumeration date
03/09/2014
Last updated
01/06/2025
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