Provider Demographics
NPI:1013184811
Name:HIGDON, HEATHER PILAND (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:PILAND
Last Name:HIGDON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1178 5TH ST SE
Mailing Address - Street 2:
Mailing Address - City:CAIRO
Mailing Address - State:GA
Mailing Address - Zip Code:39828-3141
Mailing Address - Country:US
Mailing Address - Phone:229-377-2002
Mailing Address - Fax:229-377-0930
Practice Address - Street 1:1178 5TH ST SE
Practice Address - Street 2:
Practice Address - City:CAIRO
Practice Address - State:GA
Practice Address - Zip Code:39828-3141
Practice Address - Country:US
Practice Address - Phone:229-377-2002
Practice Address - Fax:229-377-0930
Is Sole Proprietor?:No
Enumeration Date:2008-05-12
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA3276363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant