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1033278361
GARY BROADNAX
AUGUSTA, GA
NPI
1033278361
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
Enumeration Date
2006-12-06
Last Update Date
2010-11-12
Business Address
Dr. GARY BROADNAX md
1289 BROAD ST
AUGUSTA, GA 30901-1187
Phone number: 706-724-5557
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Mailing Address
Dr. GARY BROADNAX md
1289 BROAD STREET
AUGUSTA, GA 30901
Phone number: 404-688-9305
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