BROAD RIVER PHYSICIANS GROUP, LLC

COLUMBIA, SC
NPI1154841021
Entity TypeOrganization
Authorized ContactKIM H LARSEN
Director Of Credentialing
770-874-5400
Organization Subpart ?No
Primary Taxonomy207P00000X Emergency Medicine
Enumeration Date2017-06-22
Last Update Date2020-02-05
Business Address
BROAD RIVER PHYSICIANS GROUP, LLC
2435 FOREST DR
COLUMBIA, SC 29204-2026
Phone number: 803-256-5300
Mailing Address
BROAD RIVER PHYSICIANS GROUP, LLC
PO BOX 21801
BELFAST, ME 04915-4115
Phone number: 770-874-5400