| High Mountain Healthcare, Llc | |
|
63 Pleasant Hill Rd Blairsville GA 30512-2291 | |
| (706) 745-2229 | |
| (706) 745-0836 |
| Full Name | High Mountain Healthcare, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 63 Pleasant Hill Rd, Blairsville, Georgia |
| Authorized Official Name and Position | Teresa Michele Bradford (PROVIDER/OWNER) |
| Authorized Official Contact | 7067452229 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| High Mountain Healthcare, Llc Po Box 2239 Blairsville GA 30514-2239 Ph: (706) 745-2229 | High Mountain Healthcare, Llc 63 Pleasant Hill Rd Blairsville GA 30512-2291 Ph: (706) 745-2229 |
| NPI Number | 1417088865 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 08/04/2020 |
| Medicare PECOS PAC ID | 1254439854 |
|---|---|
| Medicare Enrollment ID | O20070605000567 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417088865 | NPI | - | NPPES |
| 896443794A | Medicaid | GA | |
| 5906395 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Teresa M Bradford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922015452 PECOS PAC ID: 6608804760 Enrollment ID: I20070605000574 |
| Provider Name | Leslie L Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760569156 PECOS PAC ID: 1355437005 Enrollment ID: I20071011000337 |
| Provider Name | Susan Alyce Dressler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477964450 PECOS PAC ID: 6709100407 Enrollment ID: I20150129001551 |
| Provider Name | Andrea P Fowler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427433945 PECOS PAC ID: 6608178272 Enrollment ID: I20171103001071 |
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