Provider Demographics
NPI:1740708007
Name:HIGGINS, JOANNA OLSEN (CAA)
Entity type:Individual
Prefix:MRS
First Name:JOANNA
Middle Name:OLSEN
Last Name:HIGGINS
Suffix:
Gender:F
Credentials:CAA
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Mailing Address - Street 1:2748 RIDGEMORE RD NW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30318-1446
Mailing Address - Country:US
Mailing Address - Phone:404-226-1674
Mailing Address - Fax:
Practice Address - Street 1:1984 PEACHTREE RD NW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-5219
Practice Address - Country:US
Practice Address - Phone:404-351-1745
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-06
Last Update Date:2017-09-26
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367H00000XPhysician Assistants & Advanced Practice Nursing ProvidersAnesthesiologist Assistant