Leeper, Riggolette A.

Leeper, Riggolette A. is an individual health care provider with primary practice located at 3760 Lavista Rd Suite 102, Tucker GA 30084-5615. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Leeper, Riggolette A. can be contacted via phone (404) 248-0415.

Contact Information

Primary practice address
3760 Lavista Rd Suite 102 Tucker GA 30084-5615
Phone: (404) 248-0415
Fax: (404) 248-0422
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 8642 Georgia

Profile Details

NPI number 1669537650
LBN Legal business name Leeper, Riggolette A.
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669537650 NPPES
Georgia MEDICAID 579040250A

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