Individual
PATRICK THOMAS BRODERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4700 WATERS AVE, 2ND FLOOR, GEORGIA EAR, SAVANNAH, GA 31404-6220
(912) 988-5050
Mailing address
4700 WATERS AVE, 2ND FLOOR, GEORGIA EAR, SAVANNAH, GA 31404-6220
(912) 988-5050
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2008018932
MO
208000000X
Pediatrics Physician
27983AL
AL
2080P0202X
Pediatric Cardiology Physician
Primary
065999
GA
Other
Enumeration date
05/22/2007
Last updated
07/29/2011
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