Healthcare Provider Details

I. General information

NPI: 1942024948
Provider Name (Legal Business Name): LASHANNAH TAYLOR-RIGDON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/14/2024
Last Update Date: 01/27/2026
Certification Date: 01/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

241 SWEM CT.
MCDONOUGH GA
30253
US

IV. Provider business mailing address

241 SWEM CT.
MCDONOUGH GA
30253
US

V. Phone/Fax

Practice location:
  • Phone: 678-296-1814
  • Fax: 404-476-8409
Mailing address:
  • Phone: 678-296-1814
  • Fax: 404-476-8409

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: