Individual
MACI RIGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24 FERNWOOD RD, ELLABELL, GA 31308-9524
(904) 868-7407
Mailing address
24 FERNWOOD RD, ELLABELL, GA 31308-9524
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/19/2025
Last updated
03/19/2025
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