Individual
ALISSA S HIGINBOTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-1716
(434) 924-2101
(434) 982-2580
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0101278562
VA
Other
Enumeration date
03/30/2018
Last updated
02/12/2024
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