Provider Demographics
NPI:1659942563
Name:BIGGS, SARA ANN
Entity Type:Individual
Prefix:MS
First Name:SARA
Middle Name:ANN
Last Name:BIGGS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 W WILLIS RD TRLR 22
Mailing Address - Street 2:
Mailing Address - City:TAHLEQUAH
Mailing Address - State:OK
Mailing Address - Zip Code:74464-0669
Mailing Address - Country:US
Mailing Address - Phone:918-575-3792
Mailing Address - Fax:
Practice Address - Street 1:129 W WILLIS RD TRLR 22
Practice Address - Street 2:
Practice Address - City:TAHLEQUAH
Practice Address - State:OK
Practice Address - Zip Code:74464-0669
Practice Address - Country:US
Practice Address - Phone:918-575-3792
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-02
Last Update Date:2021-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist