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Individual
MADISON R HIGGINS
Active
Individual
MADISON R HIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-10283
NC
363A00000X
Physician Assistant
PA2222
KY
363AM0700X
Medical Physician Assistant
PA2222
KY
363AS0400X
Surgical Physician Assistant
PA2222
KY
Other
Enumeration date
02/28/2019
Last updated
04/06/2021
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