Individual
DR. GEARIN ELIZABETH BRODERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
109 BEE ST., CHARLESTON, SC 29401
(843) 789-7345
(843) 805-5972
Mailing address
P.O. BOX 886, 512 WEST BEACH CT., FOLLY BEACH, SC 29439-0886
(843) 588-6660
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
19539
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
195390
—
SC
Enumeration date
06/26/2006
Last updated
07/08/2007
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