Individual provider · Type 1 NPI

Deidres Higgins, P.A.

Medical Physician Assistant · Fort Gordon, GA

NPI number 1245389253 Active

Practice location

300 W Hospital Rd, Ddeamc
Fort Gordon, GA 30905-5741

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000X1000225 (NC)
Medical Physician Assistant Primary 363AM0700X003858 (GA)

Medical Physician Assistant: Definition to come...

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About NPI 1245389253

Deidres Higgins, P.A.'s National Provider Identifier is 1245389253, issued on Jan 9, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fort Gordon, GA. The record was last updated on Apr 11, 2013.