Provider Demographics
NPI:1609090240
Name:BRIEGEL, LOUIS II (DC)
Entity Type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:
Last Name:BRIEGEL
Suffix:II
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7990 KNOX BRIDGE HWY
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:GA
Mailing Address - Zip Code:30114-8520
Mailing Address - Country:US
Mailing Address - Phone:770-479-5592
Mailing Address - Fax:770-479-5594
Practice Address - Street 1:7990 KNOX BRIDGE HWY
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:GA
Practice Address - Zip Code:30114-8520
Practice Address - Country:US
Practice Address - Phone:770-479-5592
Practice Address - Fax:770-479-5594
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR001652111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAGRP6356OtherGROUP NUMBER
GAT97511Medicare UPIN
GAGRP6356OtherGROUP NUMBER