Provider Demographics
NPI:1548245285
Name:BRITT, LAURENCE T JR (MD)
Entity Type:Individual
Prefix:MR
First Name:LAURENCE
Middle Name:T
Last Name:BRITT
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:854 W JAMES CAMPBELL BLVD
Mailing Address - Street 2:SUITE 303
Mailing Address - City:COLUMBIA
Mailing Address - State:TN
Mailing Address - Zip Code:38401-4659
Mailing Address - Country:US
Mailing Address - Phone:931-380-4072
Mailing Address - Fax:931-490-7043
Practice Address - Street 1:1224 TROTWOOD AVE
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401-4802
Practice Address - Country:US
Practice Address - Phone:931-380-4072
Practice Address - Fax:931-490-7043
Is Sole Proprietor?:No
Enumeration Date:2005-12-14
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNTN027244207R00000X
TN27244208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1506540Medicaid
TN3096975OtherBCBS
TN3283015Medicaid
TNG46243Medicare UPIN
TN3808678Medicare PIN
TN3096975OtherBCBS