DR. Alexis Noelle Broussard, OD
NPI #1003393539 in Columbia, South Carolina
Provider Information
- NPI Number
- 1003393539
- Entity Type
- Individual
- Name
- DR. Alexis Noelle Broussard, OD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Optometrist
- Credential
- OD
- Enumeration Date
- Jul 26, 2018
- Last Updated
- Jul 26, 2018
Practice Location
- Address
- 280 HARBISON BLVD STE T
- City
- Columbia
- State
- South Carolina
- ZIP Code
- 29212-2247
- Phone
- (803) 732-9200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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