Individual
GENEVA INEZ BROADWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFM
Contact information
Practice address
2108 ABERDEEN RD, DOTHAN, AL 36301-5212
(334) 596-9439
Mailing address
2108 ABERDEEN RD, DOTHAN, AL 36301-5212
(334) 596-9439
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
Primary
—
—
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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