Provider Demographics
NPI:1316699697
Name:HIGGINS, ZACHARY (DC)
Entity type:Individual
Prefix:
First Name:ZACHARY
Middle Name:
Last Name:HIGGINS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1096 ASSEMBLY DR STE 310
Mailing Address - Street 2:
Mailing Address - City:FORT MILL
Mailing Address - State:SC
Mailing Address - Zip Code:29708-6450
Mailing Address - Country:US
Mailing Address - Phone:803-547-9800
Mailing Address - Fax:
Practice Address - Street 1:1096 ASSEMBLY DR STE 310
Practice Address - Street 2:
Practice Address - City:FORT MILL
Practice Address - State:SC
Practice Address - Zip Code:29708-6450
Practice Address - Country:US
Practice Address - Phone:803-547-9800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-19
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4772111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor