| Rigby Performance Medicine PLLC | |
|
4123 Lawndale Dr Ste 105 Greensboro NC 27455-1827 | |
| (336) 365-0001 | |
| (336) 365-0553 |
| Full Name | Rigby Performance Medicine PLLC |
|---|---|
| Speciality | Family Medicine |
| Location | 4123 Lawndale Dr Ste 105, Greensboro, North Carolina |
| Authorized Official Name and Position | Michael D Rigby (OWNER) |
| Authorized Official Contact | 3362650773 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rigby Performance Medicine PLLC 4123 Lawndale Dr Ste 105 Greensboro NC 27455-1888 Ph: (336) 365-0001 | Rigby Performance Medicine PLLC 4123 Lawndale Dr Ste 105 Greensboro NC 27455-1827 Ph: (336) 365-0001 |
| NPI Number | 1386254373 |
|---|---|
| Provider Enumeration Date | 08/04/2020 |
| Last Update Date | 05/15/2024 |
| Certification Date | 05/15/2024 |
| Medicare PECOS PAC ID | 7618396938 |
|---|---|
| Medicare Enrollment ID | O20201006000111 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386254373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | (NU) | Primary |
| Provider Name | Lisa Hague Ball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144560079 PECOS PAC ID: 4688819006 Enrollment ID: I20130405000289 |
| Provider Name | Michael D Rigby |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1649532110 PECOS PAC ID: 6901192285 Enrollment ID: I20160913001531 |
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