Individual
MIKEYAH HIGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1421 BLUFF RD, COLUMBIA, SC 29201-4809
(800) 805-6989
Mailing address
2 STAFFORT CT, COLUMBIA, SC 29223-4068
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
55445
SC
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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