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Individual

DR. EDWARD D. RIGTRUP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., F.A.A.P.

Contact information

Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-2191
Mailing address
1499 WALTON WAY, SUITE 1400, AUGUSTA, GA 30901-2602
(706) 724-6100

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
069944
GA
208000000X
Pediatrics Physician
25MA03690600
NJ

Other

Enumeration date
11/17/2006
Last updated
08/16/2013
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