| Doctor Name: | DR. JACK CLAYTON BIGGS |
| NPI Number: | 1629021258 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DOCTOR OF MEDICINE |
| License Number: | MD0000004875 |
| Business Practice Address: | 3962 Cypress Plantation Dr Olive Branch, MS - 386546204 |
| Business Phone Number: | 6628952218 |
| Business Fax Number: | 6628903867 |
| Mailing Address: | 3962 Cypress Plantation Dr, OLIVE BRANCH |
| State: | MS |
| Postal Code: | 386546204 |
| Phone Number: | 6628952218 |
| Fax Number: | 6628903867 |
| NPI Enumeration Date: | 05/17/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD0000004875 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |