Provider Demographics
NPI:1467469619
Name:BRIGGS, CHERYL LAVONNE (RN)
Entity Type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:LAVONNE
Last Name:BRIGGS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3510 SLEEPING FAWN KNLS
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30034-4892
Mailing Address - Country:US
Mailing Address - Phone:404-241-1639
Mailing Address - Fax:
Practice Address - Street 1:215 LAKEWOOD WAY SW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30315-6022
Practice Address - Country:US
Practice Address - Phone:404-762-3650
Practice Address - Fax:404-624-0638
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN059401163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse