Provider Demographics
NPI:1992882914
Name:BIGGERS, EDITH EVELETTE (MD)
Entity type:Individual
Prefix:MS
First Name:EDITH
Middle Name:EVELETTE
Last Name:BIGGERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10 PARK PLACE SE
Mailing Address - Street 2:5TH FLOOR
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30303
Mailing Address - Country:US
Mailing Address - Phone:404-613-1571
Mailing Address - Fax:404-612-3443
Practice Address - Street 1:99 JESSE HILL JR DR ROOM 234
Practice Address - Street 2:FULTON COUNTY DEPT OF HEALTH & WELLNESS
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30303
Practice Address - Country:US
Practice Address - Phone:404-730-1430
Practice Address - Fax:404-730-1520
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA035816208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00832906AMedicaid
GA84BBBDHMedicare ID - Type Unspecified
GA00832906AMedicaid