Individual
GARY P HIGGINBOTHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
712 N TRENTON ST, RUSTON, LA 71270-3324
(318) 251-2424
(318) 251-9922
Mailing address
712 N TRENTON ST, RUSTON, LA 71270-3324
(318) 251-2424
(318) 251-9922
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
959
LA
Other
Enumeration date
03/06/2007
Last updated
09/23/2008
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