Individual
MR. GREG B HIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
840 W 4TH ST, WINSTON SALEM, NC 27101-2502
(336) 529-9274
Mailing address
840 W 4TH ST, WINSTON SALEM, NC 27101-2502
(336) 529-9274
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4134
NC
Other
Enumeration date
10/26/2014
Last updated
10/26/2014
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