Provider Demographics
NPI:1386254373
Name:RIGBY PERFORMANCE MEDICINE PLLC
Entity type:Organization
Organization Name:RIGBY PERFORMANCE MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:D
Authorized Official - Last Name:RIGBY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:336-265-0773
Mailing Address - Street 1:4123 LAWNDALE DR STE 105
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27455-1888
Mailing Address - Country:US
Mailing Address - Phone:336-365-0001
Mailing Address - Fax:
Practice Address - Street 1:4123 LAWNDALE DR STE 105
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27455-1827
Practice Address - Country:US
Practice Address - Phone:336-365-0001
Practice Address - Fax:336-365-0553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-04
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports MedicineGroup - Single Specialty