Provider Demographics
NPI:1568696029
Name:BIGGS MEDICAL CLINIC, LLC
Entity Type:Organization
Organization Name:BIGGS MEDICAL CLINIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:C
Authorized Official - Last Name:BIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:678-797-6830
Mailing Address - Street 1:1431 WHITE CIR
Mailing Address - Street 2:SUITE F
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30066-5801
Mailing Address - Country:US
Mailing Address - Phone:678-797-6830
Mailing Address - Fax:770-424-5557
Practice Address - Street 1:1431 WHITE CIR
Practice Address - Street 2:SUITE F
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30066-5801
Practice Address - Country:US
Practice Address - Phone:678-797-6830
Practice Address - Fax:770-424-5557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-12
Last Update Date:2009-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA025105207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA025105OtherSTATE OF GEORGIA MEDICAL LICENSE
GA1063415776OtherBARBARA C. BIGGS, MD NPI NUMBER