Provider Demographics
NPI:1790121044
Name:L S RIGGINS, M.D. P.C.
Entity Type:Organization
Organization Name:L S RIGGINS, M.D. P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LEE
Authorized Official - Middle Name:SHEFTON
Authorized Official - Last Name:RIGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-780-8980
Mailing Address - Street 1:401 TUSCALOOSA AVE SW
Mailing Address - Street 2:SUITE D210
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35211-1416
Mailing Address - Country:US
Mailing Address - Phone:205-780-8980
Mailing Address - Fax:
Practice Address - Street 1:401 TUSCALOOSA AVE SW
Practice Address - Street 2:SUITE D210
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35211-1416
Practice Address - Country:US
Practice Address - Phone:205-780-8980
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-14
Last Update Date:2013-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL11197174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
B46221Medicare UPIN