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NPI 1326293440

NPI 1326293440 : WILLIAM J BRIGGS MD PC : MC RAE, GA

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General NPI Number Information
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    NPI Number           |    1326293440
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    Entity Type          |    Organization 
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    Legal Business Name  |    WILLIAM J BRIGGS MD PC 
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Dates
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    Enumeration Date     |    11/18/2008
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    Last Update Date     |    04/15/2011
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Provider Practice Location Address
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    Address Line         |    144 E OAK ST 
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    City                 |    MC RAE
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    State                |    GA
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    Zip                  |    31055-4338
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    Country              |    US
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    Telephone            |    229-868-6467
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    Fax                  |    229-868-5900
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Provider Business Mailing Address
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    Address Line         |    144 E OAK ST P. O. BOX 466
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    City                 |    MC RAE
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    State                |    GA
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    Zip                  |    31055-4338
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    Country              |    US
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    Telephone            |    229-868-6467
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    Fax                  |    229-868-5900
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. WILLIAM J BRIGGS 
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    Credential           |    M.D.P.C.
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    Telephone            |    229-868-6467
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    
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    License Number State |    
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