Individual
CARROL BIGBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 GEORGIA AVE SE, ATLANTA, GA 30312-3046
(404) 653-0374
Mailing address
404 OLD FORD RD, FAYETTEVILLE, GA 30214-2654
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN124033
GA
Other
Enumeration date
04/18/2018
Last updated
04/18/2018
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