Riggins, Gwendolyn

Riggins, Gwendolyn is an individual health care provider with primary practice located at 770 Walnut St , Macon GA 31201-7307. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Riggins, Gwendolyn can be contacted via phone (478) 787-4266.

Contact Information

Primary practice address
770 Walnut St Macon GA 31201-7307
Fax: (478) 787-4199
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN049330 NP Georgia

Profile Details

NPI number 1922150259
LBN Legal business name Riggins, Gwendolyn
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2007
Last updated May 28th, 2015 - about 11 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 1922150259 NPPES
Georgia MEDICAID 000968437I
Georgia Other RN049330 NP

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