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Organization

JEFFREY N BRODER MD PC

Active
Other names
North Agusta Urgent Care Family & Occupational Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY N BRODER MD (MEDICAL DIRECTOR)
(803) 279-1030
Entity
Organization

Contact information

Practice address
1201 WEST AVE, NORTH AUGUSTA, SC 29841-3350
(803) 279-1030
(803) 278-1344
Mailing address
1201 WEST AVE, NORTH AUGUSTA, SC 29841-3350
(803) 279-1030
(803) 278-1344

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
15157
SC
363LF0000X
Family Nurse Practitioner
Primary
APN459
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GP2905
SC
Enumeration date
09/09/2005
Last updated
09/11/2025
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