KENT ALLAN BROUSSARD

CHARLESTON, SC
NPI1477048353
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: SC  LL52844)
Enumeration Date2018-06-25
Last Update Date2018-06-25
Business Address
KENT ALLAN BROUSSARD
169 ASHLEY AVENUE ROOM 202 MAIN HOSPITAL, MSC333
CHARLESTON, SC 29425
Phone number: 843-792-4074
Mailing Address
KENT ALLAN BROUSSARD
169 ASHLEY AVENUE ROOM 202 MAIN HOSPITAL, MSC333
CHARLESTON, SC 29425
Phone number: 843-792-4074
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