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NPI Code Detail

MEDICARE: ANDREW BROWDER

MEDICARE:   ANDREW  BROWDER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
22084P0800XPsychiatry PhysicianLL86020SC
32084P0800XPsychiatry Physician86020SC

General Provider Information

NPI Number : 1477133940
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW BROWDER
Provider Business Mailing Address
First Line : 300 E MCBEE AVE STE 300
Second Line :
City : GREENVILLE
State : SC
Zip : 29601-2899
Country : US
Telephone Number : 864-522-8611
Fax Number :
Provider Business Practice Location Address
First Line : 725 GROVE RD
Second Line :
City : GREENVILLE
State : SC
Zip : 29605-9998
Country : US
Telephone Number : 864-455-6968
Fax Number : 864-455-8981
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2021
Last Update Date : 08/07/2025

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