Highlands Healthcare, Pllc | |
315 N Washington Ave Suite 175 Cookeville TN 38501-2629 | |
(931) 520-6500 | |
(931) 528-1488 |
Full Name | Highlands Healthcare, Pllc |
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Speciality | Family Medicine |
Location | 315 N Washington Ave, Cookeville, Tennessee |
Authorized Official Name and Position | Kimber J Logan (OWNER) |
Authorized Official Contact | 9315286500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Highlands Healthcare, Pllc 315 N Washington Ave Suite 175 Cookeville TN 38501-2629 Ph: (931) 520-6500 | Highlands Healthcare, Pllc 315 N Washington Ave Suite 175 Cookeville TN 38501-2629 Ph: (931) 520-6500 |
NPI Number | 1659795193 |
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Provider Enumeration Date | 02/04/2014 |
Last Update Date | 02/04/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659795193 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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