Dr. Gary Broadnax MD
Specialist in Augusta, GA(View on Map)
Full Name
Dr. Gary Broadnax MD
NPI Number
1033278361
NPI Type
Individual Provider
Gender
Male
Enumeration Date
12/06/2006
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
1289 BROAD STREET
1289 BROAD ST
City
Augusta
Augusta
State
GA
GA
Postal Code
30901
30901-1187
Country
US
US
Telephone Number
(404) 688-9305
(706) 724-5557
Identifiers
Identifier
586045874
586045874
586045874
586045874
586045874
586045874
586045874
G16213
Identifier State
GA
GA
GA
GA
Unknown
Unknown
GA
SC
Identifier Issuer
PEACHSTATE HEALTH PLAN
CIGNA HEALTHCARE
BCBS OF GEORGIA
AMERIGROUP COMMUNITY CARE
AETNA HEALTHCARE
HUMANA
UNITED HEALTHCARE
SOUTH CAROLINA MEDICAID
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 11/12/2010