Individual
STEPHEN ALLAN BROUGHMAN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1207 MAIN ST STE C, PERRY, GA 31069-4309
(478) 987-9666
Mailing address
PO BOX 628, PERRY, GA 31069-0628
(478) 987-9666
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR010196
GA
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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