Charlene Bell Broome in Hattiesburg - Pediatrics

Charlene Bell Broome - NPI 1720007040

Charlene Bell Broome is a Pediatrics in Hattiesburg, Mississippi. Charlene Bell Broome practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Charlene Bell Broome is 1720007040. The last update date is 2020-08-11.

Charlene Bell Broome's current location address is 415 S 28th Ave, Hattiesburg, Mississippi. You can contact this provider via phone number 6012611800 and fax number 6015795240. The mailing address for Charlene Bell Broome is 415 S 28th Ave, Hattiesburg, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Charlene Bell Broome
Address 415 S 28th Ave, Hattiesburg, Mississippi
Phone Number 6012611800
Fax Number 6015795240
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1720007040
Provider Enumeration Date 2006-07-18
Last Updated Date 2020-08-11

Provider Mailing Address Detail

Address 415 S 28th Ave
City Hattiesburg
State Mississippi (MS)
Post Code 394017246
Phone Number 6012611800
Fax Number 6015795240

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 12482
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
119222 MS --

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FAQs about Charlene Bell Broome

What is the unique 10-digit identifier code issued to Charlene Bell Broome by the Centers for Medicare & Medicaid Services?

The Charlene Bell Broome has been assigned the NPI (National Provider Identifier) 1720007040 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Charlene Bell Broome is located?

The Charlene Bell Broome is situated at the following address: 415 S 28Th Ave, Hattiesburg, MS, 394017246.

What is Charlene Bell Broome's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Charlene Bell Broome is Pediatrics, and the taxonomy code that classifies this field of practice is 208000000X.

On what date did Charlene Bell Broome receive its 1720007040 assignment from the Centers for Medicare & Medicaid Services?

The Charlene Bell Broome was assigned its 1720007040 on 2006-07-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Charlene Bell Broome, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Charlene Bell Broome, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-11.

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