Provider Demographics
NPI:1184038705
Name:BIGGERS, JONATHAN W III (DO)
Entity type:Individual
Prefix:
First Name:JONATHAN
Middle Name:W
Last Name:BIGGERS
Suffix:III
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:11814 KING WILLIAM RD
Mailing Address - Street 2:
Mailing Address - City:AYLETT
Mailing Address - State:VA
Mailing Address - Zip Code:23009-4103
Mailing Address - Country:US
Mailing Address - Phone:804-769-3022
Mailing Address - Fax:804-769-1253
Practice Address - Street 1:11814 KING WILLIAM RD
Practice Address - Street 2:
Practice Address - City:AYLETT
Practice Address - State:VA
Practice Address - Zip Code:23009-4103
Practice Address - Country:US
Practice Address - Phone:804-769-3022
Practice Address - Fax:804-769-1253
Is Sole Proprietor?:No
Enumeration Date:2014-06-12
Last Update Date:2019-06-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0116027238207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine