Individual
BLAKE LESLIE WOERNER HIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5 MOBILE INFIRMARY CIR, MOBILE, AL 36607-3513
(251) 545-4579
(251) 287-1466
Mailing address
3280 DAUPHIN ST, BUILDING B, SUITE 118, MOBILE, AL 36606-4060
(251) 545-4579
(251) 287-1466
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.1033
AL
Other
Enumeration date
03/04/2015
Last updated
03/04/2015
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