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NPI Code Detail

MEDICARE: DR. ERIN M RIGGS AUD, CNIM

MEDICARE: DR. ERIN M RIGGS AUD, CNIM
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
1231H00000XAudiologistAUD004122GA
2246ZE0600XElectroneurodiagnostic Specialist/Technologist3258GA

General Provider Information

NPI Number : 1386231009
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERIN M RIGGS AUD, CNIM
Provider Business Mailing Address
First Line : 1521 JUSTINE WAY SE
Second Line :
City : MABLETON
State : GA
Zip : 30126-2840
Country : US
Telephone Number : 443-417-4074
Fax Number :
Provider Business Practice Location Address
First Line : 3284 NORTHSIDE PKWY NW STE 600
Second Line :
City : ATLANTA
State : GA
Zip : 30327-2282
Country : US
Telephone Number : 404-767-4778
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2020
Last Update Date : 12/29/2020

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