Provider Demographics
NPI:1821696741
Name:RIGGS, KAREN (RDN)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:RIGGS
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 GREEN ST
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30030-3711
Mailing Address - Country:US
Mailing Address - Phone:404-458-7252
Mailing Address - Fax:
Practice Address - Street 1:107 GREEN ST
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30030-3711
Practice Address - Country:US
Practice Address - Phone:404-458-7252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-13
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALD005474133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
GALD005474OtherSTATE OF GEORGIA