NPI 1235659103

Broad River Physicians Group, LLC

Organisation Emergency Medicine Physician Columbia, SC

Practice location

Address: 120 Gateway Corporate Blvd, Columbia, SC 29203-9611
Phone: (803) 865-4500
Mailing address: PO Box 21801, Belfast, ME 04915-4115

Authorised official

Name: Kim H Larsen
Title: Director of Credentialing
Phone: (770) 874-5400

Registered specialties

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X

Other Emergency Medicine providers in South Carolina →

Registry record

NPI: 1235659103
Entity type: Organization
NPI issued: 22 Jun 2017
Record last updated: 5 Feb 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.