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NPI Code Detail

MEDICARE: HIGHLANDS SURGICAL SPECIALISTS, PA

MEDICARE: HIGHLANDS SURGICAL SPECIALISTS, PA
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
1208600000XSurgery PhysicianNC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3DE8800OTHERNCRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
271628OTHERNCHEALTH CHOICE
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
571628OTHERNCBLUE CROSS
6182523OTHERNCMEDCOST
7197726OTHERGABLUE CROSS
8180874OTHERNCPREFERRED CARE
92348409OTHERNCAETNA
107579719OTHERNCAETNA
118971628OTHERNCWELLCARE

General Provider Information

NPI Number : 1811932718
Entity Type Code : Organization
Provider Name (Legal Business Name) : HIGHLANDS SURGICAL SPECIALISTS, PA
Provider Business Mailing Address
First Line : 56 MEDICAL PARK DR
Second Line : SUITE 204
City : FRANKLIN
State : NC
Zip : 28734-2632
Country : US
Telephone Number : 828-349-6890
Fax Number : 828-349-6891
Provider Business Practice Location Address
First Line : 56 MEDICAL PARK DR
Second Line : SUITE 204
City : FRANKLIN
State : NC
Zip : 28734-2632
Country : US
Telephone Number : 828-349-6890
Fax Number : 828-349-6891
Authorized Official
Title or Position : OWNER/PRESIDENT
Name : DR. DANIEL DALE RICHARDSON
Credential : M.D.
Telephone Number : 828-349-6890
Provider Enumeration Date : 06/17/2006
Last Update Date : 07/22/2008

Similar Medicare Providers

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Practice Location Address:
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28734-2632
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1679521512 — DR. JAMES PATRICK KESSLER M.D.
Practice Location Address:
56 MEDICAL PARK DR , SUITE 302
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Practice Fax: 828-369-1400
1114957263 — GARLAND COFFIELD KING MD
Practice Location Address:
56 MEDICAL PARK DR , SUITE 301
FRANKLIN, NC
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Practice Fax: 828-369-4408
1568487452 — GILBERTO ROBLES MD
Practice Location Address:
56 MEDICAL PARK DR , SUITE 303
FRANKLIN, NC
28734-2632
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Practice Fax: 828-369-4403
1851488399 — DR. MARK H MORIARTY M. D.
Practice Location Address:
56 MEDICAL PARK DR , SUITE 303
FRANKLIN, NC
28734-2632
Practice Phone: 828-349-8260
Practice Fax: 828-349-8261
1437283231 — DR. CHASTITY TAKOMA EDWARDS MD
Practice Location Address:
56 MEDICAL PARK DR
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28734-2632
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Practice Fax: 828-349-8289

Directions to “HIGHLANDS SURGICAL SPECIALISTS, PA ” Practice Location

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