Individual
MR. KENDALL MARK BROOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2334 SPARTA WAY STE 200, BUFORD, GA 30519-2001
(678) 997-2151
Mailing address
PO BOX 740209, DEPT 1041, ATLANTA, GA 30374-0209
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN 135213
GA
Other
Enumeration date
05/05/2006
Last updated
01/09/2026
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