Individual
ANNA BROADUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2400 MOUNT ZION PKWY, JONESBORO, GA 30236-2500
(800) 877-0409
Mailing address
3495 PIEDMONT RD NE, ATLANTA, GA 30305-1717
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN19828
GA
Other
Enumeration date
02/03/2017
Last updated
01/10/2022
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