JEFFREY N BRODER MD

NORTH AUGUSTA, SC
NPI1871542332
Doing Business AsNORTH AUGUSTA URGENT CARE FAMILY & OCCUPATIONAL MEDICINE CENTER
Entity TypeOrganization
Authorized ContactJEFFREY N BRODER
CEO
803-279-1030
Organization Subpart ?No
Primary Taxonomy208D00000X General Practice
(Licence: SC  15157)
Additional Taxonomies207Q00000X 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 Date2006-05-10
Last Update Date2008-07-11
Business Address
JEFFREY N BRODER MD
1201 WEST AVE
NORTH AUGUSTA, SC 29841-3350
Phone number: 803-279-1030
Mailing Address
JEFFREY N BRODER MD
PO BOX 724928
ATLANTA, GA 31139-9028
Phone number: 678-838-1585
Similar providers in North Augusta, SC