MEDICARE: MRS. HEATHER PILAND HIGDON PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	3276	GA

General Provider Information

NPI Number	:	1013184811
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. HEATHER PILAND HIGDON PA-C

Provider Business Mailing Address
First Line	:	1178 5TH ST SE
Second Line	:
City	:	CAIRO
State	:	GA
Zip	:	39828-3141
Country	:	US
Telephone Number	:	229-377-2002
Fax Number	:	229-377-0930

Provider Business Practice Location Address
First Line	:	1178 5TH ST SE
Second Line	:
City	:	CAIRO
State	:	GA
Zip	:	39828-3141
Country	:	US
Telephone Number	:	229-377-2002
Fax Number	:	229-377-0930

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2008
Last Update Date	:	05/12/2008

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Directions to “ MRS. HEATHER PILAND HIGDON PA-C” Practice Location

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