Individual
DR. CAROLYN L BIGELOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE/DIVISION OF HEMATOLOGY, JACKSON, MS 39216-4500
(601) 984-5615
(601) 984-5689
Mailing address
2500 NORTH STATE STREET, DEPT OF MEDICINE/DIVISION OF HEMATOLOGY, JACKSON, MS 39225-4146
(601) 984-5615
(601) 984-5689
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
08700
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019223
—
MS
05
—
1691313
—
LA
01
—
P01236764
RAILROAD MEDICARE PTAN
MS
Enumeration date
07/01/2006
Last updated
04/09/2014
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