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1144642844
DORA MCIVER BROOM
ROME, GA
NPI
1144642844
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 7078)
Enumeration Date
2014-01-14
Last Update Date
2020-03-09
Business Address
DORA MCIVER BROOM PA-C
103 JOHN MADDOX DR NW
ROME, GA 30165-1419
Phone number: 706-235-7711
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Mailing Address
DORA MCIVER BROOM PA-C
103 JOHN MADDOX DR NW
ROME, GA 30165-1419
Phone number: 706-235-7711
Copy
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