Provider Demographics
NPI:1508348616
Name:RIGGS, MARY M (BS)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:M
Last Name:RIGGS
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:MESHELLE
Other - Last Name:CLARK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS
Mailing Address - Street 1:4449 EASTON WAY FL 2
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43219-7005
Mailing Address - Country:US
Mailing Address - Phone:614-665-5443
Mailing Address - Fax:
Practice Address - Street 1:4449 EASTON WAY FL 2
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43219-7005
Practice Address - Country:US
Practice Address - Phone:614-665-5443
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-05
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Y00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Health Information