Individual
SHERRY HIGGINBOTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
750 MAIN ST STE 301A, REISTERSTOWN, MD 21136-2517
(410) 526-3060
(410) 584-2243
Mailing address
515 FAIRMOUNT AVE STE 400, TOWSON, MD 21286-8518
(410) 526-3060
(410) 584-2243
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA1490
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200591300
—
MD
Enumeration date
05/03/2006
Last updated
11/30/2020
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