Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NICOLE STACK BROERMAN, MD
Active Sole ProprietorDR. NICOLE STACK BROERMAN, MD is a Pediatrics healthcare provider located in HINESVILLE, Georgia. NPI 1013902741 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · HINESVILLE, GA
Registration Details
- NPI Number
- 1013902741
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 19, 2005 (20.856137369264 yrs)
- Last Updated
- Apr 17, 2018
- License
-
47265 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
462 ELMA G MILES PKWYHINESVILLE, GA, 313134000Browse GA providers · Browse ZIP 31313
- Phone
- 9123699400
- Fax
- 9128779438
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in HINESVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| ERIC LEE HALL | M.D. | 1568438521 |
| DOUGLAS A BOUDREAU | MD | 1598720617 |
| KIJANA NICOLA NIX | MD,FAAP | 1043368756 |
| DR. PHILLIP O AJAYI | M.D. | 1366769622 |
| MRS. LISA S ELKIN | MD | 1629513817 |
| MRS. BRITTANY LORETTA FRASIER | FNP-BC | 1568987295 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.