Healthcare Provider Details

I. General information

NPI: 1619909413
Provider Name (Legal Business Name): MARGARET BIGHAM C.R.N.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2095 HENRY TECKLENBURG DR
CHARLESTON SC
29414-5733
US

IV. Provider business mailing address

418 W CAROLINA AVE
SUMMERVILLE SC
29483-4375
US

V. Phone/Fax

Practice location:
  • Phone: 843-402-1436
  • Fax: 843-402-1833
Mailing address:
  • Phone: 843-832-3711
  • Fax: 843-553-2223

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPN1924
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: