SHANE HIGGINBOTHAM MD PA NPI 1033129713

NPI Information

SHANE HIGGINBOTHAM MD PA is a family medicine in Malvern, AR. The provider is 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. SHANE HIGGINBOTHAM MD PA NPI is 1033129713. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Higginbotham Family Clinic.

The provider's business location address is:

1002 SCHNEIDER DR
SUITE 104
MALVERN, AR
ZIP 72104-816
Phone: (501) 332-7981
Fax: (501) 337-9964

The provider's authorized official is Kim Overton .
The authorized official title is Office Manager and has the following contact phone number (501) 337-9994.

The CLIA number assigned to this NPI record is 04D2027363 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/8/2006 and was last updated on 5/6/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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