Individual
DEIDRES HIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
300 W HOSPITAL RD, DDEAMC, FORT GORDON, GA 30905-5741
(706) 787-6845
Mailing address
300 W HOSPITAL RD, DDEAMC, FORT GORDON, GA 30905-5741
(706) 787-6845
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
1000225
NC
363AM0700X
Medical Physician Assistant
Primary
003858
GA
Other
Enumeration date
01/09/2007
Last updated
04/11/2013
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