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Individual

MS. GWENDOLYN RIGGINS

Active
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Individual

MS. GWENDOLYN RIGGINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN049330 NP
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000968437I
GA
01
RN049330 NP
GEORGIA LICENSE NO.
GA
Enumeration date
01/17/2007
Last updated
05/28/2015
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