Individual
DR. CHARLENE BELL BROOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6414 U S HIGHWAY 98, STE 80, HATTIESBURG, MS 39402-7815
(601) 261-1800
(601) 261-1801
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 261-1800
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
12482
MS
208000000X
Pediatrics Physician
12482
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0119222
—
MS
Enumeration date
07/18/2006
Last updated
08/11/2020
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