| Brigade Physicians Llc | |
|
302 University Pkwy Aiken SC 29801-6302 | |
| (111) 111-1111 | |
| Not Available |
| Full Name | Brigade Physicians Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 302 University Pkwy, Aiken, South Carolina |
| Authorized Official Name and Position | Obiora Agbimson (OWNER) |
| Authorized Official Contact | 6317868449 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brigade Physicians Llc 1285 Marks Church Rd Ste D Augusta GA 30909-2472 Ph: () - | Brigade Physicians Llc 302 University Pkwy Aiken SC 29801-6302 Ph: (111) 111-1111 |
| NPI Number | 1750114823 |
|---|---|
| Provider Enumeration Date | 08/23/2024 |
| Last Update Date | 11/10/2024 |
| Certification Date | 11/10/2024 |
| Medicare PECOS PAC ID | 1850823071 |
|---|---|
| Medicare Enrollment ID | O20241014000952 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750114823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Obiora Agbimson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598256646 PECOS PAC ID: 8022405653 Enrollment ID: I20241014001355 |
| Provider Name | Ozioma Nwaigwe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427549567 PECOS PAC ID: 7618228461 Enrollment ID: I20241209003029 |
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