| 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 |