Healthcare Provider Details

I. General information

NPI: 1063415776
Provider Name (Legal Business Name): BARBARA CONNER BIGGS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/27/2005
Last Update Date: 05/04/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1431 WHITE CIR
MARIETTA GA
30066-5801
US

IV. Provider business mailing address

133 PEACHTREE ST NE SUITE 3150
ATLANTA GA
30303-1804
US

V. Phone/Fax

Practice location:
  • Phone: 770-424-2226
  • Fax: 770-424-8787
Mailing address:
  • Phone: 404-524-0775
  • Fax: 404-524-0782

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number025105
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: