Jeffrey N Broder Md Pc in North Augusta - General Practice
Jeffrey N Broder Md Pc - NPI 1679567259
Jeffrey N Broder Md Pc is a General Practice in North Augusta, South Carolina. Jeffrey N Broder Md Pc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jeffrey N Broder Md Pc is 1679567259. The last update date is 2020-08-22.
Jeffrey N Broder Md Pc's current location address is 1201 West Ave, North Augusta, South Carolina. You can contact this provider via phone number 8032791030 and fax number 8032781344. The mailing address for Jeffrey N Broder Md Pc is 1201 West Ave, North Augusta, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jeffrey N Broder Md Pc |
|---|---|
| Address | 1201 West Ave, North Augusta, South Carolina |
| Phone Number | 8032791030 |
| Fax Number | 8032781344 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Broder N Jeffrey |
| Credentials | MD |
| Telephone Number | 8032791030 |
NPI Number Detail
| NPI Number | 1679567259 |
|---|---|
| Provider Enumeration Date | 2005-09-09 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1201 West Ave |
|---|---|
| City | North Augusta |
| State | South Carolina (SC) |
| Post Code | 298413350 |
| Phone Number | 8032791030 |
| Fax Number | 8032781344 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 15157 |
|
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GP2905 | SC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jeffrey N Broder Md Pc by the Centers for Medicare & Medicaid Services?
The Jeffrey N Broder Md Pc has been assigned the NPI (National Provider Identifier) 1679567259 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jeffrey N Broder Md Pc's facilities are geographically located?
The facilities of Jeffrey N Broder Md Pc are physically situated at the following location: 1201 West Ave, North Augusta, SC, 298413350.
What is Jeffrey N Broder Md Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jeffrey N Broder Md Pc's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 208D00000X.
On what date was the 1679567259 assigned to Jeffrey N Broder Md Pc?
The Jeffrey N Broder Md Pc was issued its 1679567259 on 2005-09-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Jeffrey N Broder Md Pc most recently updated or revised?
The details related to Jeffrey N Broder Md Pc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.