NPI Code Detail JSON Logo

1306708219 NPI number — MATTIE RUTH CANAAN BRIGGS

NPI Number: 1306708219
Health Care Provider/Practitioner: MATTIE RUTH CANAAN BRIGGS

Information about “1306708219” NPI (MATTIE RUTH CANAAN BRIGGS) exists in 1306708219 in HTML format HTML  |  1306708219 in plain Text format TXT  |  1306708219 in PDF (Portable Document Format) PDF  |  1306708219 in an XML format XML  formats.

NPI Number : 1306708219 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1306708219",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BRIGGS",
    "FirstName": "MATTIE",
    "MiddleName": "RUTH CANAAN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5680 FULTON INDUSTRIAL BLVD SW",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SOUTH FULTON",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30336-2659",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "404-775-7925",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1890 DONALD LEE HOLLOWELL PKWY NW",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ATLANTA",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30318-4800",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "404-802-6100",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/29/2025",
    "LastUpdateDate": "11/29/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YS0200X",
        "TaxonomyName": "School Counselor",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "GA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.