Organization · Type 2 NPI

Shane Higginbotham MD PA

Family Medicine Physician · Malvern, AR

NPI number 1033129713 Active

Practice location

1002 Schneider Dr, Suite 104
Malvern, AR 72104-4816

Fax (501) 337-9964

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	E0968 (AR)
Physician Assistant	363A00000X	PA251 (AR)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

6 other providers at this address

Other family medicine physician providers in Malvern

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NPI record

NPI: 1033129713
Entity type: Organization (Type 2)
Issued: Aug 8, 2006
Last updated: May 6, 2021
Status: Active

Other names

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Higginbotham Family Clinic · doing business as
Higginbotham Family Clinic · doing business as

Authorized official

Kim Overton
Office Manager
(501) 337-9994

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1033129713

Shane Higginbotham MD PA's National Provider Identifier is 1033129713, issued on Aug 8, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Malvern, AR. The record was last updated on May 6, 2021.