Provider Demographics
NPI:1992803779
Name:BIGGS, JOHN G (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:G
Last Name:BIGGS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1040 RIVER OAKS DR STE 201
Mailing Address - Street 2:
Mailing Address - City:FLOWOOD
Mailing Address - State:MS
Mailing Address - Zip Code:39232-9534
Mailing Address - Country:US
Mailing Address - Phone:601-992-1222
Mailing Address - Fax:601-992-7222
Practice Address - Street 1:1040 RIVER OAKS DR STE 201
Practice Address - Street 2:
Practice Address - City:FLOWOOD
Practice Address - State:MS
Practice Address - Zip Code:39232-9534
Practice Address - Country:US
Practice Address - Phone:601-992-1222
Practice Address - Fax:601-992-7222
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MS17598207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00125784Medicaid
MSP00746800OtherRAILROAD MEDICARE
MSH47708Medicare UPIN
MS302I117810Medicare PIN