Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 23180 | WV |
NPI | 1003070525 |
---|---|
Provider Name | Dr. Tanya G Bigby |
First Address | Huntington, WV 25705-2076 |
Second Address | Huntington, WV 25705-2076 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2008 |
Last Update Date | 19/08/2011 |