Individual
ADDIE JAMETTA BRIGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1122 N 25TH ST, STE B, RICHMOND, VA 23223
(804) 864-9600
(804) 864-9647
Mailing address
PO BOX 23069, RICHMOND, VA 23223
(804) 864-9600
(804) 864-9647
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101226981
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6724167
—
VA
Enumeration date
11/06/2006
Last updated
07/08/2007
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