MEDICARE: DR. LAFAYETTE BRIGGS JR. D.C.,

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	111N00000X	Chiropractor	1206	SC

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

General Provider Information

NPI Number	:	1881796332
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAFAYETTE BRIGGS JR. D.C.,

Provider Business Mailing Address
First Line	:	PO BOX 91101
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29290-2101
Country	:	US
Telephone Number	:	803-764-3072
Fax Number	:	803-764-5362

Provider Business Practice Location Address
First Line	:	6941 N TRENHOLM RD
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29206-1715
Country	:	US
Telephone Number	:	803-764-3072
Fax Number	:	803-764-5362

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

Provider Enumeration Date	:	09/04/2006
Last Update Date	:	11/08/2017

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