Individual
DR. BRUCE CARTER HIGINBOTHOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
445 PORTERFIELD HWY, SUITE A, ABINGDON, VA 24210
(276) 628-3144
(276) 628-1571
Mailing address
445 PORTERFIELD HWY, SUITE A, ABINGDON, VA 24210
(276) 628-3144
(276) 628-1571
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101054741
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005605008
—
VA
05
—
007610432
—
VA
Enumeration date
06/12/2006
Last updated
08/12/2008
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