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NPI Code Detail

MEDICARE: DR. RICHARD WAYNE BROWDER M.D.

MEDICARE: DR. RICHARD WAYNE BROWDER M.D.
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
1207RN0300XNephrology Physician19329SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700889938
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD WAYNE BROWDER M.D.
Provider Business Mailing Address
First Line : 3815 FABER PLACE DR
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29405-8533
Country : US
Telephone Number : 843-767-9312
Fax Number : 843-767-9313
Provider Business Practice Location Address
First Line : 3815 FABER PLACE DR
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29405-8533
Country : US
Telephone Number : 843-767-9312
Fax Number : 843-767-9313
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 05/02/2022

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Practice Fax: 843-767-9313

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