Provider Demographics
NPI:1699920983
Name:DR. BIGGS CHIROPRACTIC, INC.
Entity type:Organization
Organization Name:DR. BIGGS CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:LEABA
Authorized Official - Middle Name:LASHAY
Authorized Official - Last Name:BIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:678-469-5635
Mailing Address - Street 1:P.O. BOX 7896
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30065-9998
Mailing Address - Country:US
Mailing Address - Phone:678-469-5635
Mailing Address - Fax:
Practice Address - Street 1:736 JOHNSON FERRY RD.
Practice Address - Street 2:SUITE -C130
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30068-4233
Practice Address - Country:US
Practice Address - Phone:678-469-5635
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DR. BIGGS CHIROPRACTIC, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-12-01
Last Update Date:2008-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR008020261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center