person
Scott Russell Broadwell, MD
Diagnostic Radiology Physician in Charlotte, North Carolina
NPI 1518948561

Scott Russell Broadwell is a Diagnostic Radiology Physician based in Charlotte, NC and is specialized in Diagnostic Radiology. Scott Russell Broadwell practices in Charlotte, NC and has the professional credentials of MD. The NPI Number for Scott Russell Broadwell is 1518948561 and holds a License No. 31804 (North Carolina).

The current practice location address for Scott Russell Broadwell is 700 E Morehead St, Charlotte, NC and can be reached out via phone at 704-334-7800 and via fax at 704-414-7512.

Location: 700 E Morehead St, Charlotte, NC, 28202-2788
person
Provider Profile Details
NPI Number
1518948561
Provider Name
Scott Russell Broadwell
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
700 E Morehead St, Charlotte, NC, 28202-2788
Phone Number
704-334-7800
Fax Number
704-414-7512
Provider Enumeration Date
11/08/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
N23008 05 SC
P00655691 01 NC RR NC MEDICARE
5909660 05 NC
institution
Provider Business Practice Location Address Details
Address
700 E Morehead St
City
State
Zip
28202-2788
Phone Number
704-334-7800
Fax Number
704-414-7512
person
Provider Business Mailing Address Details
Address
700 E Morehead St
City
State
Zip
28202-2788
Phone Number
704-334-7800
Fax Number
704-414-7512
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
31804 (South Carolina)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
License No.
31804 (South Carolina)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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