Individual
DR. SAMUEL LEE BROFFITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1995 HIGHWAY 51 S, SUITE 202, NORTH DOCTORS BUILDING, COVINGTON, TN 38019-3635
(901) 476-4526
Mailing address
PO BOX 784, COVINGTON, TN 38019-0784
(901) 476-4526
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD13148
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0016732
BLUE CROSS
TN
01
—
032147
AMERICAN BRD. OF FAM. P.
—
05
—
3185867
—
TN
Enumeration date
09/20/2006
Last updated
07/08/2007
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