Dr. Alfred W. Broadhead, MD
Family Medicine in Orangeburg, SC. Individual provider (NPI-1).
NPI number1477579043
StatusActive
Last updated in NPPESJul 9, 2007
Details
- NPI
- 1477579043
- Entity type
- Individual (NPI-1)
- Name
- Dr. Alfred W. Broadhead
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 15, 2006
- Last updated
- Jul 9, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 17681 | SC | Yes |
Practice location
3310 Magnolia StOrangeburg, SC 29115-1466
Phone 803-263-4086 · Fax 803-263-4097
Mailing address
3310 Magnolia StOrangeburg, SC 29115-1466
Phone 803-531-6900 · Fax 803-531-6907
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