Individual
ASA TAVARES BRIGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1007 PENDLETON ST, GREENVILLE, SC 29601-2315
(864) 748-3939
(877) 370-4340
Mailing address
1007 PENDLETON ST, GREENVILLE, SC 29601-2315
(864) 748-3939
(877) 370-4340
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
22987
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP6556
—
SC
Enumeration date
11/20/2012
Last updated
02/16/2024
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