MEDICARE: THOMAS J HIGH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	26128	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	26128	OTHER	GA	STATE LICENSE

General Provider Information

NPI Number	:	1194731984
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS J HIGH MD

Provider Business Mailing Address
First Line	:	315 DELMONT DR NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30305-3220
Country	:	US
Telephone Number	:	404-847-9480
Fax Number	:	404-847-9479

Provider Business Practice Location Address
First Line	:	315 DELMONT DR NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30305-3220
Country	:	US
Telephone Number	:	404-847-9480
Fax Number	:	404-847-9479

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	03/04/2025

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Directions to “ THOMAS J HIGH MD” Practice Location

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