Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | 08700 | MS |
NPI | 1144259235 |
---|---|
Provider Name | Dr. Carolyn L Bigelow |
First Address | Jackson, MS 39225-4146 |
Second Address | Jackson, MS 39216-4500 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2006 |
Last Update Date | 09/04/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0019223 | (05) | MS |
1691313 | (05) | LA |
A06377 | (02) | MS |
P01236764 | RAILROAD MEDICARE PTAN (01) | MS |