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1235659103
BROAD RIVER PHYSICIANS GROUP, LLC
COLUMBIA, SC
NPI
1235659103
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Entity Type
Organization
Authorized Contact
KIM H LARSEN
Director Of Credentialing
770-874-5400
Organization Subpart ?
No
Primary Taxonomy
207P00000X Emergency Medicine
Enumeration Date
2017-06-22
Last Update Date
2020-02-05
Business Address
BROAD RIVER PHYSICIANS GROUP, LLC
120 GATEWAY CORPORATE BLVD
COLUMBIA, SC 29203-9611
Phone number: 803-865-4500
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Mailing Address
BROAD RIVER PHYSICIANS GROUP, LLC
PO BOX 21801
BELFAST, ME 04915-4115
Phone number: 770-874-5400
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