Search › Georgia › 363LF0000X
Rae Broadnax, NP
NPI 1437249570 · on the registry since 2006
Practice
- Address
- 6600 Van Aalst Blvd
Fort Moore, GA 31905 - Phone
- (762) 408-3450
- Fax
- (762) 408-8115
- Clinicians at this address
- 153
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363LP2300X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-12-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia