SearchSouth Carolina2085R0204X

Joseph Broudy, M.D

NPI 1689706434 · on the registry since 2007 · sole proprietor

Practice

Address
6439 Garners Ferry Rd
Columbia, SC 29209
Phone
(809) 776-4000
Organisation at this address
Dorn Vamc
Doris Thomas
Columbia Vamc
Columbia Vamc
Columbia Vamc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
635

Registry record

Primary taxonomy
2085R0204X
2085R0204X
Also registered as
207R00000X
2085R0204X
Licence states on file
OH, MO, NJ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-09-15

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 South Carolina