NPI | 1871542332 |
---|---|
Doing Business As | NORTH AUGUSTA URGENT CARE FAMILY & OCCUPATIONAL MEDICINE CENTER |
Entity Type | Organization |
Authorized Contact | JEFFREY N BRODER CEO 803-279-1030 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: SC 15157) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 15157) |
207R00000X Internal Medicine (Licence: SC 15157) | |
2080A0000X Pediatrics Adolescent Medicine (Licence: SC 15157) | |
2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: SC 15157) | |
2083X0100X Preventive Medicine Occupational Medicine (Licence: SC 15157) | |
261QP2300X Clinic/Center Primary Care | |
363LF0000X Nurse Practitioner Family (Licence: SC APN459) | |
Enumeration Date | 2006-05-10 |
Last Update Date | 2008-07-11 |