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NPI Code Detail

MEDICARE: MARISSA BRIGGS NP

MEDICARE:   MARISSA  BRIGGS  NP
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
1363LP2300XPrimary Care Nurse Practitioner5019889NC

General Provider Information

NPI Number : 1972322634
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARISSA BRIGGS NP
Provider Business Mailing Address
First Line : 108 HICKORY KNOLL RD
Second Line :
City : COLUMBIA
State : SC
Zip : 29203-9046
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2250 HAWKINS ST STE D
Second Line :
City : CHARLOTTE
State : NC
Zip : 28203-4906
Country : US
Telephone Number : 704-635-0066
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/08/2024
Last Update Date : 10/08/2024

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