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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANE HIGGINBOTHAM MD PA

Active Organization

SHANE HIGGINBOTHAM MD PA is a Family Medicine organization located in MALVERN, Arkansas. NPI 1033129713 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · MALVERN, AR

Registration Details

NPI Number
1033129713
Provider Type
Organization
NPI Issued
Aug 8, 2006 (20.012687759135 yrs)
Last Updated
May 6, 2021
Licenses
PA251 (AR)
E0968 (AR)

Practice Information

Address
1002 SCHNEIDER DR
SUITE 104
MALVERN, AR, 721044816
Browse AR providers · Browse ZIP 72104
Phone
5013327981
Fax
5013379964
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Organizations in MALVERN, AR

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.