Provider Demographics
NPI:1891030706
Name:ALACIA L. BIGHAM, P.C.
Entity Type:Organization
Organization Name:ALACIA L. BIGHAM, P.C.
Other - Org Name:CENTERS FOR FAMILY MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ALACIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:BIGHAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-889-6080
Mailing Address - Street 1:5114 OLD HICKORY BLVD
Mailing Address - Street 2:
Mailing Address - City:SUITE 201
Mailing Address - State:TN
Mailing Address - Zip Code:37076-2590
Mailing Address - Country:US
Mailing Address - Phone:615-889-6080
Mailing Address - Fax:615-884-0370
Practice Address - Street 1:5114 OLD HICKORY BLVD
Practice Address - Street 2:
Practice Address - City:SUITE 201
Practice Address - State:TN
Practice Address - Zip Code:37076-2590
Practice Address - Country:US
Practice Address - Phone:615-889-6080
Practice Address - Fax:615-884-0370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-04
Last Update Date:2012-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN45512207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty