Provider Demographics
NPI:1407034036
Name:BIGGS, LEABA (DC)
Entity type:Individual
Prefix:
First Name:LEABA
Middle Name:
Last Name:BIGGS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7896
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30065-1896
Mailing Address - Country:US
Mailing Address - Phone:678-469-5635
Mailing Address - Fax:
Practice Address - Street 1:736 JOHNSON FERRY RD STE C130
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30068-5628
Practice Address - Country:US
Practice Address - Phone:678-469-5635
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-06
Last Update Date:2008-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR008020111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor