Healthcare Provider Details

I. General information

NPI: 1659381291
Provider Name (Legal Business Name): LEE SHEFTON RIGGINS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 01/08/2025
Certification Date: 01/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 TUSCALOOSA AVE SW SUITE D-210
BIRMINGHAM AL
35211-1416
US

IV. Provider business mailing address

401 TUSCALOOSA AVE SW SUITE D-210
BIRMINGHAM AL
35211-1416
US

V. Phone/Fax

Practice location:
  • Phone: 205-780-8980
  • Fax: 205-785-1554
Mailing address:
  • Phone: 205-780-8980
  • Fax: 205-785-1554

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number11197
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number87766
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: