Individual
DR. JASON DOMINIC HIGGINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 MOYE BLVD, GREENVILLE, NC 27834-4300
(252) 744-0766
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
(252) 744-2128
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
A75511
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
170VT
BCBS
NC
05
—
5920514
—
NC
Enumeration date
12/17/2005
Last updated
03/12/2024
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