JEFFREY N BRODER MD PC
Nursing at West Ave, North Augusta, SC

License number
South Carolina 15157
Category
Osteopathic Medicine
Type
General Practice
License number
South Carolina APN459
Category
Nursing
Type
Family
Owner
Name: JEFFREY N BRODER MD
Title: MEDICAL DIRECTOR
Phone: (803) 279-1030
Address
Address
1201 West Ave WEST, North Augusta, SC 29841
National Provider ID: 1679567259
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JEFFREY N. BRODER, M.D., PC

1417 Georgia Ave, North Augusta, SC 29841

Registration:
Aug 31, 2000
Business type:
Foreign
Formation place:
GEORGIA
Agent:
James B Huff

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