Provider Demographics
NPI:1437124427
Name:RIGG, JOHN LENNERT (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:LENNERT
Last Name:RIGG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:504 CREEKSTONE TRAIL
Mailing Address - Street 2:
Mailing Address - City:EVANS
Mailing Address - State:GA
Mailing Address - Zip Code:30809
Mailing Address - Country:US
Mailing Address - Phone:706-787-1273
Mailing Address - Fax:
Practice Address - Street 1:300 E. HOSPITAL RD. DWIGHT D. EISENHOWER BUILDING
Practice Address - Street 2:NEUROSCIENCE AND REHABILITATION CENTER 12 EAST
Practice Address - City:FORT GORDON AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30905
Practice Address - Country:US
Practice Address - Phone:706-787-1273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2013-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA057996208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation