Basic Information
| Provider Information | |||||||||
| NPI: | 1891971859 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | RIGSBY INTERNAL MEDICINE, P.C. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 838 | ||||||||
| Address2: | |||||||||
| City: | WATKINSVILLE | ||||||||
| State: | GA | ||||||||
| PostalCode: | 306770019 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7067698800 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2410 HOG MOUNTAIN RD | ||||||||
| Address2: | SUITE 107 | ||||||||
| City: | WATKINSVILLE | ||||||||
| State: | GA | ||||||||
| PostalCode: | 306774811 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7063545770 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/21/2008 | ||||||||
| LastUpdateDate: | 06/18/2008 | ||||||||
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| AuthorizedOfficialLastName: | RIGSBY | ||||||||
| AuthorizedOfficialFirstName: | WILLIAM | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 7063545770 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 039665 | GA | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.