Jeffrey Broadwell, CPO
NPI #1518713064 in Columbia, South Carolina
Provider Information
- NPI Number
- 1518713064
- Entity Type
- Individual
- Name
- Jeffrey Broadwell, CPO
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Prosthetist
- Credential
- CPO
- Enumeration Date
- Apr 25, 2024
- Last Updated
- Apr 25, 2024
Practice Location
- Address
- 720 GRACERN RD STE 115
- City
- Columbia
- State
- South Carolina
- ZIP Code
- 29210-7658
- Phone
- (803) 509-6256
Specialties & Taxonomy Codes
| Specialty |
|---|
| Orthotist |
| Prosthetist |
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