Individual
GEORGIA NICOLE BIGGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
218 W CYPRESS ST, ALTUS, OK 73521-3713
(580) 481-8760
Mailing address
PO BOX 16, ALTUS, OK 73522-0016
(580) 301-2406
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073249942
AMETHYST HOUSE, INC
—
Enumeration date
12/16/2022
Last updated
12/16/2022
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