Individual
DR. MICHAEL WESLEY BROOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
510 N BELAIR RD, EVANS, GA 30809-3105
(706) 863-3030
(706) 863-0093
Mailing address
510 N BELAIR RD, EVANS, GA 30809-3105
(706) 863-3030
(706) 863-0093
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT002823
GA
Other
Enumeration date
06/13/2014
Last updated
07/21/2014
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