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NPI Code Detail

MEDICARE: MATTHEW STEPHEN HIGGINS MD

MEDICARE: MATTHEW STEPHEN HIGGINS MD
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
1207Q00000XFamily Medicine Physician201000418NC

General Provider Information

NPI Number : 1962695395
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW STEPHEN HIGGINS MD
Provider Business Mailing Address
First Line : 381 RUIN CREEK RD
Second Line :
City : HENDERSON
State : NC
Zip : 27536-2932
Country : US
Telephone Number : 252-430-0666
Fax Number : 252-430-7503
Provider Business Practice Location Address
First Line : 381 RUIN CREEK RD
Second Line :
City : HENDERSON
State : NC
Zip : 27536-2932
Country : US
Telephone Number : 252-430-0666
Fax Number : 252-430-7503
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2007
Last Update Date : 09/27/2011

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