Individual provider · Type 1 NPI

Jack W. Higginbotham, MD

Diagnostic Radiology Physician · Charlottesville, VA

NPI number 1700859253 Active

Practice location

500 Martha Jefferson Dr, Charlottesville Radiology
Charlottesville, VA 22911-4668

Call (434) 244-4580 Map

Fax (434) 244-4579

Mailing address

PO Box 197
State College, PA 16804-0197

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X0101232780 (VA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1700859253

Jack W. Higginbotham, MD's National Provider Identifier is 1700859253, issued on Feb 7, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Charlottesville, VA. The record was last updated on Apr 1, 2021.