Individual
PETER J BIGHAM
Active
Individual
PETER J BIGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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