Provider Demographics
NPI:1811233299
Name:RIGDON, NANCY PARKER
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:PARKER
Last Name:RIGDON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:264 HURT DR
Mailing Address - Street 2:
Mailing Address - City:CORDELE
Mailing Address - State:GA
Mailing Address - Zip Code:31015-8893
Mailing Address - Country:US
Mailing Address - Phone:229-322-9591
Mailing Address - Fax:
Practice Address - Street 1:264 HURT DR
Practice Address - Street 2:
Practice Address - City:CORDELE
Practice Address - State:GA
Practice Address - Zip Code:31015-8893
Practice Address - Country:US
Practice Address - Phone:229-322-9591
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-12
Last Update Date:2012-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist