Ivan Brodwyn, DC

NPI 1538193503 · on the registry since 2006 · sole proprietor

Practice

Address: 3624 Edgewood Rd
Columbus, GA 31907
Phone: (706) 563-3370
Fax: (706) 563-3501
Organisation at this address: Jay Brodwyn Clinicare Of Columbus Inc
West Georgia Regenerative Medicine Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 111N00000X
111N00000X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-01-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia