Provider Demographics
NPI:1962667675
Name:RIGGS, GREGORY S (MD)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:S
Last Name:RIGGS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4809 AMBASSADOR CAFFERY PKWY
Mailing Address - Street 2:STE 410
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-8800
Mailing Address - Country:US
Mailing Address - Phone:337-504-3335
Mailing Address - Fax:337-504-4795
Practice Address - Street 1:4809 AMBASSADOR CAFFERY PKWY
Practice Address - Street 2:STE 410
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-8800
Practice Address - Country:US
Practice Address - Phone:337-504-3335
Practice Address - Fax:337-504-4795
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-22
Last Update Date:2012-03-21
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Provider Licenses
StateLicense IDTaxonomies
NC149509207R00000X
LA204671207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2155067Medicaid
LA2155067Medicaid