| NPI | 1679567259 |
|---|---|
| Doing Business As | NORTH AGUSTA URGENT CARE FAMILY & OCCUPATIONAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JEFFREY N BRODER Medical Director 803-279-1030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: SC 15157) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC APN459) |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2020-08-22 |