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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DORA MCIVER BROOM, PA-C

Active Sole Proprietor

DORA MCIVER BROOM, PA-C is a Physician Assistant healthcare provider located in WOODSTOCK, Georgia. NPI 1144642844 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · WOODSTOCK, GA

Registration Details

NPI Number
1144642844
Provider Type
Individual
Gender
Female
NPI Issued
Jan 14, 2014 (12.592668177202 yrs)
Last Updated
Aug 19, 2025
License
7078 (GA)
Sole Proprietor
Yes

Practice Information

Address
100 STONEFOREST DR STE 320
WOODSTOCK, GA, 301894881
Browse GA providers · Browse ZIP 30189
Phone
7705165199
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in WOODSTOCK, GA

Name Credential NPI
NATALIYA VALENTINOVA PA-C 1568588812
MRS. MICHELLE KING CLARDY PA-C 1073732426
JORGE L LOPEZ PAC 1316167398
ELIZABETH DANNER VANDEL PA-C 1215168133
KIMBERLEY GLENN PA 1659601649
MISS DEIDRA DYAN MUNSANTO PA-C 1235432170
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.