Individual
MRS. BRENDA KAY HIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1503 HIGHWAY 45 N, COLUMBUS, MS 39705-2113
(662) 328-9623
Mailing address
703 16TH AVE S, COLUMBUS, MS 39701-6927
(662) 574-1439
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R840052
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508851486
—
MS
Enumeration date
10/31/2012
Last updated
12/20/2013
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