Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. STEPHEN R BROADWATER, M.D.
ActiveDR. STEPHEN R BROADWATER, M.D. is a Hospice and Palliative Medicine healthcare provider located in MARTINEZ, Georgia. NPI 1083697478 is currently active in the NPPES registry. Verify at CMS.
Hospice and Palliative Medicine · MARTINEZ, GA
Registration Details
- NPI Number
- 1083697478
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 21, 2005 (20.76290873105 yrs)
- Last Updated
- Apr 3, 2024
- Licenses
-
050003 (GA)50003 (GA)50003 (GA)
Practice Information
- Address
-
587 FURYS FERRY RDMARTINEZ, GA, 309079059Browse GA providers · Browse ZIP 30907
- Phone
- 7067218623
- Primary Specialty
-
Hospice and Palliative Medicine
207RI0011X
- Additional Specialty
- Cardiovascular Disease
- Additional Specialty
- Hospice and Palliative Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.