Healthcare Provider Details

I. General information

NPI: 1306661251
Provider Name (Legal Business Name): COURTNEY COXWELL RIGGS PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2024
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6336 PICCADILLY SQUARE DR
MOBILE AL
36609-5143
US

IV. Provider business mailing address

64360 STATE HIGHWAY 59
STOCKTON AL
36579-4403
US

V. Phone/Fax

Practice location:
  • Phone: 251-999-5433
  • Fax:
Mailing address:
  • Phone: 843-473-5830
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA.2404
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA.2404
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: