Provider Demographics
NPI:1700070885
Name:BRITT, JOAN M (MEDICAL LABORATORY T)
Entity Type:Individual
Prefix:MS
First Name:JOAN
Middle Name:M
Last Name:BRITT
Suffix:
Gender:F
Credentials:MEDICAL LABORATORY T
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 QUAIL DR
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29302-3219
Mailing Address - Country:US
Mailing Address - Phone:704-300-8250
Mailing Address - Fax:
Practice Address - Street 1:103 QUAIL DR
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29302-3219
Practice Address - Country:US
Practice Address - Phone:704-300-8250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-31
Last Update Date:2007-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCMLT29939246RM2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RM2200XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyMedical Laboratory