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NPI Code Detail

MEDICARE: DR. WILLIAM SLEDGE RIGGINS JR. M.D., M.P.H.

MEDICARE: DR. WILLIAM SLEDGE RIGGINS JR. M.D., M.P.H.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12083P0901XPublic Health & General Preventive Medicine PhysicianG9651TX
22083P0901XPublic Health & General Preventive Medicine PhysicianMD300343LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205810058
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM SLEDGE RIGGINS JR. M.D., M.P.H.
Provider Business Mailing Address
First Line : 1434 TIGER DR
Second Line :
City : THIBODAUX
State : LA
Zip : 70301-4337
Country : US
Telephone Number : 985-447-0916
Fax Number : 985-447-0920
Provider Business Practice Location Address
First Line : 1434 TIGER DR
Second Line :
City : THIBODAUX
State : LA
Zip : 70301-4337
Country : US
Telephone Number : 985-447-0916
Fax Number : 985-447-0920
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2005
Last Update Date : 10/26/2015

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