Search › Georgia › 183500000X

Omer Higginbotham

NPI 1417249301 · on the registry since 2011 · sole proprietor

Practice

Address
200 N 2nd St
Folkston, GA 31537
Phone
(912) 496-7759
Fax
(912) 496-1143
Clinicians at this address
2

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-05-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia