Provider Demographics
NPI:1568634319
Name:JAMES A. BIGA
Entity Type:Organization
Organization Name:JAMES A. BIGA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:BIGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-973-2207
Mailing Address - Street 1:3053 INTREPID CLOSE
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062-6603
Mailing Address - Country:US
Mailing Address - Phone:770-973-2207
Mailing Address - Fax:770-973-3948
Practice Address - Street 1:3053 INTREPID CLOSE
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062-6603
Practice Address - Country:US
Practice Address - Phone:770-973-2207
Practice Address - Fax:770-973-3948
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-01
Last Update Date:2008-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT001678332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA51101008OtherBLUE CROSS BLUE SHIELD
GA51101008OtherBLUE CROSS BLUE SHIELD
GA65BBCDNMedicare PIN