MEDICARE: DR. JEFFREY ALLEN BRIGGS 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	207V00000X	Obstetrics & Gynecology Physician	35044146	OH

General Provider Information

NPI Number	:	1568403533
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY ALLEN BRIGGS MD

Provider Business Mailing Address
First Line	:	3621 STONEWAY PT
Second Line	:
City	:	POWELL
State	:	OH
Zip	:	43065-8268
Country	:	US
Telephone Number	:	614-361-1694
Fax Number	:

Provider Business Practice Location Address
First Line	:	3650 OLENTANGY RIVER RD
Second Line	:	SUITE 302
City	:	COLUMBUS
State	:	OH
Zip	:	43214-3464
Country	:	US
Telephone Number	:	614-884-0190
Fax Number	:	614-884-0192

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

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	03/11/2010

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