Individual
ELDRED KEMP HIGGINBOTHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
121 JOE AVE, HOHENWALD, TN 38462-1207
(931) 796-4669
(931) 796-1222
Mailing address
PO BOX 849, HOHENWALD, TN 38462-0849
(931) 796-4669
(931) 796-1222
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD 000577
TN
Other
Enumeration date
09/11/2006
Last updated
11/02/2011
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