Shane Higginbotham MD PA

NPI #1033129713 in Malvern, Arkansas

Provider Information

NPI Number: 1033129713
Entity Type: Organization
Organization Name: Shane Higginbotham MD PA
Primary Specialty: Family Medicine
Enumeration Date: Aug 8, 2006
Last Updated: May 6, 2021

Practice Location

Address: 1002 SCHNEIDER DR
Address 2: SUITE 104
City: Malvern
State: Arkansas
ZIP Code: 72104-4816
Phone: (501) 332-7981

Authorized Official

Name: KIM OVERTON
Title: OFFICE MANAGER
Phone: (501) 337-9994

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Family Medicine	207Q00000X	Primary

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