Individual
DR. RICHARD OLLEN BROADWELL III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
833 N SPENCE AVE, GOLDSBORO, NC 27530
(919) 731-2023
(919) 731-2048
Mailing address
833 N SPENCE AVE, GOLDSBORO, NC 27534-4267
(919) 920-3595
(919) 731-2048
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
23478
NC
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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