| Doctor Name: | DR. MEREDITH ANN BRISCO |
| NPI Number: | 1689882292 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 2006036023 |
| Business Practice Address: | 171 Ashley Ave Charleston, SC - 294258908 |
| Business Phone Number: | 8437921414 |
| Business Fax Number: | |
| Mailing Address: | Po Box 751461, CHARLOTTE |
| State: | NC |
| Postal Code: | 282751461 |
| Phone Number: | 8437926200 |
| Fax Number: | |
| NPI Enumeration Date: | 05/18/2007 |
| NPI Last Update Date: | 07/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 2006036023 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |