Dr David Van Broome, MD | |
1400 E Union St, Greenville, MS 38703-3246 | |
(662) 378-3783 | |
Not Available |
Full Name | Dr David Van Broome |
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Gender | Male |
Speciality | Anesthesiology |
Location | 1400 E Union St, Greenville, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386601227 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 12483 (Mississippi) | Primary |
Entity Name | Lifelinc Anesthesia Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801021464 PECOS PAC ID: 0941347447 Enrollment ID: O20130522000277 |
Mailing Address | Practice Location Address |
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Dr David Van Broome, MD Po Box 235019, Montgomery, AL 36123-5019 Ph: (334) 279-1450 | Dr David Van Broome, MD 1400 E Union St, Greenville, MS 38703-3246 Ph: (662) 378-3783 |
Dr. Richard Jackson, MD Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 1400 E Union St, Greenville, MS 38703 Phone: 662-378-3783 | |
Hamilton Mcgee, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1400 E Union St, Greenville, MS 38703 Phone: 662-378-3783 Fax: 662-725-3913 | |
Dr. John Turner, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1400 E Union St, Greenville, MS 38703 Phone: 662-378-3783 |