North Agusta Urgent Care Family & Occupational Medicine

LBN: Jeffrey N Broder Md Pc
North Agusta Urgent Care Family & Occupational Medicine is an health care organization with primary practice located at 1201 West Ave , North Augusta SC 29841-3350. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty. Jeffrey N Broder Md Pc can be contacted via phone (803) 279-1030, or through Broder, Jeffrey N via phone (803) 279-1030.

Contact Information

Primary practice address
1201 West Ave North Augusta SC 29841-3350
Phone: (803) 279-1030
Fax: (803) 278-1344
Website:
Map and Directions
Authorized official contact:
Name: Broder, Jeffrey N Doctor of Medicine (MD)
Phone: (803) 279-1030

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 15157 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN459 South Carolina

Profile Details

NPI number 1679567259
LBN Legal business name Jeffrey N Broder Md Pc
DBA Doing business as North Agusta Urgent Care Family & Occupational Medicine
Authorized official Broder, Jeffrey N Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 9th, 2005
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679567259 NPPES
South Carolina MEDICAID GP2905

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