Individual
BRYAN JACKSON HIKINO BROADBENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7420 MARKET ST, WILMINGTON, NC 28411-9453
(910) 662-6200
(910) 686-1606
Mailing address
PO BOX 936857, ATLANTA, GA 31193-6857
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35596
NC
Other
Enumeration date
06/07/2006
Last updated
05/26/2021
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