Provider Demographics
NPI:1003070525
Name:BIGBY, TANYA G (MD)
Entity Type:Individual
Prefix:DR
First Name:TANYA
Middle Name:G
Last Name:BIGBY
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Gender:F
Credentials:MD
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Mailing Address - Street 1:5187 US ROUTE 60 E STE 11
Mailing Address - Street 2:SUITE 11
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25705-2076
Mailing Address - Country:US
Mailing Address - Phone:304-399-5437
Mailing Address - Fax:304-399-1104
Practice Address - Street 1:5187 US ROUTE 60 E
Practice Address - Street 2:STE 11
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25705-2076
Practice Address - Country:US
Practice Address - Phone:304-399-5437
Practice Address - Fax:304-399-1104
Is Sole Proprietor?:No
Enumeration Date:2008-07-14
Last Update Date:2011-08-19
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Provider Licenses
StateLicense IDTaxonomies
WV23180208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics