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1201 West Ave North Augusta SC 29841-3350 | |
| (803) 279-1030 | |
| (803) 278-1344 |
| Full Name | |
|---|---|
| Speciality | Nurse Practitioner - Family |
| Location | 1201 West Ave, North Augusta, South Carolina |
| Authorized Official Name and Position | Jeffrey N Broder (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8032791030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1201 West Ave North Augusta SC 29841-3350 Ph: (803) 279-1030 | 1201 West Ave North Augusta SC 29841-3350 Ph: (803) 279-1030 |
| NPI Number | 1679567259 |
|---|---|
| Provider Enumeration Date | 09/09/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679567259 | NPI | - | NPPES |
| GP2905 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 15157 (South Carolina) | Primary |
| 363LF0000X | Nurse Practitioner - Family | APN459 (South Carolina) | Primary |
Family Physicians North Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 West Ave, North Augusta, SC 29841 Phone: 803-279-1412 Fax: 803-279-2858 | |
University Medical Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 West Ave, North Augusta, SC 29841 Phone: 803-279-1412 Fax: 706-774-7230 | |
North Augusta Pediatrics Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 140 Allen Ct, North Augusta, SC 29860 Phone: 803-510-0007 Fax: 803-510-0144 | |
Minaxi, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 350 Austin Graybill Rd, North Augusta, SC 29860 Phone: 803-278-4272 | |
Sainvelus Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 350 Austin Graybill Rd, North Augusta, SC 29860 Phone: 803-278-4272 | |
J. William Thurmond Iii, Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 509 W Martintown Rd, North Augusta, SC 29841 Phone: 803-426-1994 Fax: 706-855-6658 | |
Beach Medical Weight Loss North Augusta Sc Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Edgefield Rd, North Augusta, SC 29841 Phone: 803-426-8882 Fax: 803-426-8910 |