Provider Demographics
NPI:1235118282
Name:BIGGS, VANESSA JANE (MD)
Entity Type:Individual
Prefix:
First Name:VANESSA
Middle Name:JANE
Last Name:BIGGS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:275 COLLIER RD NW
Mailing Address - Street 2:SUITE 230
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-1704
Mailing Address - Country:US
Mailing Address - Phone:404-352-3616
Mailing Address - Fax:404-352-2028
Practice Address - Street 1:275 COLLIER RD NW
Practice Address - Street 2:SUITE 230
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-1704
Practice Address - Country:US
Practice Address - Phone:404-352-3616
Practice Address - Fax:404-352-2028
Is Sole Proprietor?:No
Enumeration Date:2006-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA47400207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00843246BMedicaid
GA00843246BMedicaid
16BDTRRMedicare ID - Type Unspecified