Individual
DR. VIVIAN FAYE HIGHSMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1001 SCHNEIDER DR, MALVERN, AR 72104-4811
(501) 332-7355
(501) 332-7044
Mailing address
1001 SCHNEIDER DR, ER, MALVERN, AR 72104-4811
(501) 332-7355
(501) 332-7044
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C6149
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110969001
—
AR
Enumeration date
08/01/2006
Last updated
01/04/2013
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