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General NPI Number Information
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NPI Number | 1295443000
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Entity Type | Organization
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Legal Business Name | BROAD RIVER PHYSICIANS GROUP, LLC
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Dates
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Enumeration Date | 11/10/2022
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Last Update Date | 11/10/2022
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Provider Practice Location Address
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Address Line | 100 CALLEN BLVD
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City | SUMMERVILLE
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State | SC
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Zip | 29486-2807
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Country | US
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Telephone | 854-529-3100
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Fax |
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Provider Business Mailing Address
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Address Line | 5665 NEW NORTHSIDE DR STE 320
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City | ATLANTA
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State | GA
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Zip | 30328-5834
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Country | US
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Telephone | 770-874-5400
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Fax |
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Authorized Official
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Title or Position | MD
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Name | RONALD C TURNER JR.
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Credential | MD
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Telephone | 843-509-4554
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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