Individual
PETER J BIGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1348 WALTON WAY, SUITE 5100, AUGUSTA, GA 30901-5104
(706) 724-8611
(706) 724-6202
Mailing address
1348 WALTON WAY, SUITE 5100, AUGUSTA, GA 30901-5104
(706) 724-8611
(706) 724-6202
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036501
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00540031A
—
GA
01
—
0119833-003
CIGNA
GA
01
—
2089936
AETNA HMO
GA
01
—
4306503
AETNA PPO
GA
01
—
451230
GA BCBS
GA
05
—
G36501
—
SC
Enumeration date
07/11/2006
Last updated
12/03/2008
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