Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dale Broome, PA

Individual provider Physician Assistant · NPI 1598835969

Dale Broome, PA is a Physician Assistant in Tifton, Georgia. Works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

901 18th St E
Tifton, GA 31794-3648
Phone: (229) 353-7720
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1623 Madison Ave, Tifton, GA 31794-3757 — (229) 353-7720

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 004286 (GA)

Record details

NPI number1598835969
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 9, 2006
Last updated in NPPESJune 7, 2022
Certification dateJune 7, 2022

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