institution
Jeffrey N Broder Md Pc
Family Nurse Practitioner in North Augusta, South Carolina
NPI 1679567259

Jeffrey N Broder Md Pc is a Family Nurse Practitioner based in North Augusta, SC and is specialized in Family. Jeffrey N Broder Md Pc practices in North Augusta, SC. The NPI Number for Jeffrey N Broder Md Pc is 1679567259 and holds a License No. 15157 (South Carolina).

The current practice location address for Jeffrey N Broder Md Pc is 1201 West Ave, North Augusta, SC and can be reached out via phone at 803-279-1030 and via fax at 803-278-1344.

Location: 1201 West Ave, North Augusta, SC, 29841-3350
institution
Provider Profile Details
NPI Number
1679567259
Provider Name
Jeffrey N Broder Md Pc
Credential
Provider Entity Type
Organization
Address
1201 West Ave, North Augusta, SC, 29841-3350
Phone Number
803-279-1030
Fax Number
803-278-1344
Provider Enumeration Date
09/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GP2905 05 SC
institution
Provider Business Practice Location Address Details
Address
1201 West Ave
City
State
Zip
29841-3350
Phone Number
803-279-1030
Fax Number
803-278-1344
person
Provider Business Mailing Address Details
Address
1201 West Ave
City
State
Zip
29841-3350
Phone Number
803-279-1030
Fax Number
803-278-1344
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
APN459 (South Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
15157 (South Carolina)
Definition
Definition to come...
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