Provider Demographics
NPI:1174522262
Name:TRIGG, FRANK STANSON (MD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:STANSON
Last Name:TRIGG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 RIVERSTONE VIS
Mailing Address - Street 2:SUITE 203
Mailing Address - City:BLUE RIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30513-6648
Mailing Address - Country:US
Mailing Address - Phone:706-632-8787
Mailing Address - Fax:706-632-3585
Practice Address - Street 1:101 RIVERSTONE VIS
Practice Address - Street 2:SUITE 203
Practice Address - City:BLUE RIDGE
Practice Address - State:GA
Practice Address - Zip Code:30513-6648
Practice Address - Country:US
Practice Address - Phone:706-632-8787
Practice Address - Fax:706-632-3585
Is Sole Proprietor?:No
Enumeration Date:2005-07-20
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA030556207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA511045OtherBC/BS
GA10058785OtherAMERIGROUP
GA341631OtherWELLCARE
GA000360687CMedicaid
GA341631OtherWELLCARE
GA511045OtherBC/BS
GA000360687CMedicaid