Healthcare Provider Details

I. General information

NPI: 1164336681
Provider Name (Legal Business Name): TAMESHA RIGG-HAUGHTON APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2274 SALEM RD SE STE 106-117
CONYERS GA
30013-2097
US

IV. Provider business mailing address

2274 SALEM RD SE STE 106-117
CONYERS GA
30013-2097
US

V. Phone/Fax

Practice location:
  • Phone: 609-209-4576
  • Fax:
Mailing address:
  • Phone: 609-209-4576
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN-NP326510
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: