REVAJO S BROADWATER

Dr REVAJO S BROADWATER is a female medical professional, specializing in Physical Therapy. She graduated in 2006.

Contact

3537 N CROSSING CIRCLE
VALDOSTA
GA
316021019

Tel:

REVAJO S BROADWATER Information

Npi 1023111317
Pac Id 8729179239
Professional Enrollment Id I20080225000064
Last Name BROADWATER
First Name REVAJO
Middle Name S
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2006
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 3537 N CROSSING CIRCLE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City VALDOSTA
State GA
Zip Code 316021019
Phone Number
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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