| Justin Broughton, | |
|
100 Fairview Dr, Franklin, VA 23851-1238 | |
| (919) 403-2028 | |
| (919) 419-7247 |
| Full Name | Justin Broughton |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 100 Fairview Dr, Franklin, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528015245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 0101054347 (Virginia) | Primary |
| Entity Name | Quick Med Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609066687 PECOS PAC ID: 9133219512 Enrollment ID: O20080103000530 |
| Entity Name | Columbus Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588813786 PECOS PAC ID: 2961560446 Enrollment ID: O20081028000380 |
| Entity Name | Kinston Physicians Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689923757 PECOS PAC ID: 6204087919 Enrollment ID: O20121106000298 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Broughton, 3211 Shannon Rd, Suite 300, Durham, NC 27707-6322 Ph: (919) 403-2028 | Justin Broughton, 100 Fairview Dr, Franklin, VA 23851-1238 Ph: (919) 403-2028 |
Dr. Olivia Rae Mohan, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Fairview Dr, Franklin, VA 23851 Phone: 757-569-6100 | |
Dr. Dale L. Freier, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Fairview Dr, Franklin, VA 23851 Phone: 757-569-6150 | |
Mary Ann Mclaurin, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Fairview Dr, Franklin, VA 23851 Phone: 757-569-6149 | |
Dr. Jeffrey D Johnson, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Fairview Dr, Franklin, VA 23851 Phone: 757-569-6100 | |
Susan Boyle, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Fairview Dr, Franklin, VA 23851 Phone: 919-403-2028 Fax: 919-419-7247 | |
Dr. Kelly Sue Harvey, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Fairview Dr, Franklin, VA 23851 Phone: 757-569-6150 |