JACK W. HIGGINBOTHAM

CHARLOTTESVILLE, VA
NPI1700859253
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: VA  0101232780)
Enumeration Date2006-02-07
Last Update Date2021-04-01
Business Address
Dr. JACK W. HIGGINBOTHAM MD
500 MARTHA JEFFERSON DR CHARLOTTESVILLE RADIOLOGY
CHARLOTTESVILLE, VA 22911-4668
Phone number: 434-244-4580
Mailing Address
Dr. JACK W. HIGGINBOTHAM MD
PO BOX 197
STATE COLLEGE, PA 16804-0197
Phone number:
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