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General NPI Number Information
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NPI Number | 1568696029
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Entity Type | Organization
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Legal Business Name | BIGGS MEDICAL CLINIC, LLC
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Dates
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Enumeration Date | 05/12/2009
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Last Update Date | 05/12/2009
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Provider Practice Location Address
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Address Line | 1431 WHITE CIR SUITE F
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City | MARIETTA
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State | GA
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Zip | 30066-5801
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Country | US
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Telephone | 678-797-6830
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Fax | 770-424-5557
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Provider Business Mailing Address
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Address Line | 1431 WHITE CIR SUITE F
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City | MARIETTA
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State | GA
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Zip | 30066-5801
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Country | US
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Telephone | 678-797-6830
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Fax | 770-424-5557
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Authorized Official
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Title or Position | OWNER
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Name | DR. BARBARA C BIGGS
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Credential | M.D.
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Telephone | 678-797-6830
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 025105
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License Number State | GA
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