Individual provider · NPI-1

Megan Broadwater

Nurse Practitioner · Cordele, GA

NPI number1407539398
StatusActive
Last updated in NPPESAug 8, 2023

Details

NPI
1407539398
Entity type
Individual (NPI-1)
Name
Megan Broadwater
Sex
Female
Sole proprietor
No
Enumeration date
Aug 8, 2023
Certification date
Aug 8, 2023
Last updated
Aug 8, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse PractitionerRN283122GAYes

Practice location

902 N 7th St
Cordele, GA 31015-3234

Phone 229-276-3100

Mailing address

422 Lower Rebecca Rd
Fitzgerald, GA 31750-8257

Phone 229-326-9451

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