Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 34541 | GA |
Y | 207P00000X | Emergency Physician | 838 | TN |
NPI | 1003886672 |
---|---|
Provider Name | Dr. James Robert Biggers JR. |
First Address | Lafayette, LA 70508-3870 |
Second Address | Waynesboro, TN 38485-3938 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2006 |
Last Update Date | 19/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E56692 | (02) | GA |