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JAY BRIAN ROBARDS MD

Diagnostic Radiology >> Radiology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1104808179

Individual Registrant:
 JAY BRIAN ROBARDS MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
316 CALHOUN ST  CHARLESTOWN, SC 29401 US
Tel: 843-724-2000  Fax: --

Contact information for business:
PO BOX 2363  INDIANAPOLIS, IN 46206-2363 US
Tel: 843-573-4740  Fax: --

Registration Information:
NPI: 1104808179
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2085R0202XAllopathic & Osteopathic Physicians
Radiology
Diagnostic Radiology
SC14512

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
145122SC05




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