NPI | 1407306418 |
---|---|
Doing Business As | HIGHLANDS MEDICAL PLAZA |
Entity Type | Organization |
Authorized Contact | TODD SHIFFLET CEO 770-887-1668 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
Enumeration Date | 2016-10-13 |
Last Update Date | 2022-05-09 |