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NPI Code Detail

MEDICARE: RICHMOND A HIGGINBOTHAM CRNA

MEDICARE: RICHMOND A HIGGINBOTHAM CRNA
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
1367500000XCertified Registered Nurse AnesthetistAPN10724TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831185503
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHMOND A HIGGINBOTHAM CRNA
Provider Business Mailing Address
First Line : 620 SKYLINE DR
Second Line :
City : JACKSON
State : TN
Zip : 38301-3923
Country : US
Telephone Number : 731-541-7070
Fax Number : 731-541-7075
Provider Business Practice Location Address
First Line : 620 SKYLINE DR
Second Line :
City : JACKSON
State : TN
Zip : 38301-3923
Country : US
Telephone Number : 731-541-7070
Fax Number : 731-541-7075
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2005
Last Update Date : 03/29/2018

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Directions to “ RICHMOND A HIGGINBOTHAM CRNA” Practice Location

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