Provider Demographics
NPI:1649259714
Name:BRIGGS, DEVON P (MD)
Entity type:Individual
Prefix:DR
First Name:DEVON
Middle Name:P
Last Name:BRIGGS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:148 WINTHROP ST SW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30331-2244
Mailing Address - Country:US
Mailing Address - Phone:404-992-2991
Mailing Address - Fax:
Practice Address - Street 1:920 DANNON VW SW STE 3104
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30331-2158
Practice Address - Country:US
Practice Address - Phone:404-629-3933
Practice Address - Fax:404-629-3935
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-17
Last Update Date:2009-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0569722084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
26DDKFXMedicare ID - Type Unspecified
I46048Medicare UPIN