Organization
HIGGSTON FAMILY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY VANN (OFFICE MANAGER)
(912) 523-5113
Entity
Organization
Contact information
Practice address
3101 US HIGHWAY 280, AILEY, GA 30410-3659
(912) 538-7500
Mailing address
3101 US HIGHWAY 280, AILEY, GA 30410-3659
(912) 538-7500
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000002076D
—
GA
Enumeration date
04/07/2006
Last updated
07/21/2022
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