Individual
DR. STACY M HIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
49 JESSE HILL JR DR SE, ATLANTA, GA 30303-3049
(404) 778-1622
(404) 778-1602
Mailing address
49 JESSE HILL JR DR SE, ATLANTA, GA 30303-3049
(404) 778-1622
(404) 778-1602
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
470906
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
REF000110932
—
GA
Enumeration date
09/15/2006
Last updated
07/08/2007
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