MEDICARE: MR. LAURENCE T BRITT JR. MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	TN027244	TN
2	208M00000X	Hospitalist Physician	27244	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	3096975	OTHER	TN	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548245285
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. LAURENCE T BRITT JR. MD

Provider Business Mailing Address
First Line	:	854 W JAMES CAMPBELL BLVD
Second Line	:	SUITE 303
City	:	COLUMBIA
State	:	TN
Zip	:	38401-4659
Country	:	US
Telephone Number	:	931-380-4072
Fax Number	:	931-490-7043

Provider Business Practice Location Address
First Line	:	1224 TROTWOOD AVE
Second Line	:
City	:	COLUMBIA
State	:	TN
Zip	:	38401-4802
Country	:	US
Telephone Number	:	931-380-4072
Fax Number	:	931-490-7043

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/14/2005
Last Update Date	:	05/11/2017

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