JEFFREY BROADWELL

COLUMBIA, SC
NPI1518713064
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224P00000X Prosthetist
Additional Taxonomies222Z00000X Orthotist
Enumeration Date2024-04-25
Last Update Date2024-04-25
Business Address
JEFFREY BROADWELL CPO
720 GRACERN RD STE 115
COLUMBIA, SC 29210-7658
Phone number: 803-509-6256
Mailing Address
JEFFREY BROADWELL CPO
703 N FANT ST STE A
ANDERSON, SC 29621-5705
Phone number: 864-622-0900