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Individual

MATTHEW P RIGGINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2000 BROOKSIDE DR, KINGSPORT, TN 37660-4627
(423) 857-7870
(423) 857-7872
Mailing address
PO BOX 5789, JOHNSON CITY, TN 37602-5789
(423) 915-1126
(423) 915-0635

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
21235
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3058651
TN
05
3058653
TN
05
7100144770
KY
Enumeration date
10/23/2006
Last updated
02/03/2011
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