Provider Demographics
NPI:1346969466
Name:RIGGS, TOMMY MATTHEW (CPRS)
Entity Type:Individual
Prefix:
First Name:TOMMY
Middle Name:MATTHEW
Last Name:RIGGS
Suffix:
Gender:M
Credentials:CPRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:431 NISSAN DR STE 202
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167-4365
Mailing Address - Country:US
Mailing Address - Phone:615-462-7392
Mailing Address - Fax:615-267-0020
Practice Address - Street 1:431 NISSAN DR STE 202
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-4365
Practice Address - Country:US
Practice Address - Phone:615-462-7392
Practice Address - Fax:615-267-0020
Is Sole Proprietor?:No
Enumeration Date:2022-08-23
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN000-1899175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist