Healthcare Provider Details
I. General information
NPI: 1780359380
Provider Name (Legal Business Name): HIGH POINT HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/16/2021
Last Update Date: 07/12/2023
Certification Date: 07/12/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
300 COLONIAL CENTER PKWY STE 100N
ROSWELL GA
30076-4892
US
IV. Provider business mailing address
1 HARBISON WAY STE 222
COLUMBIA SC
29212-3408
US
V. Phone/Fax
- Phone: 855-479-4217
- Fax: 215-933-6837
- Phone: 240-728-9046
- Fax: 215-933-6837
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SYED
A
NAQVI
Title or Position: OWNER
Credential: DO
Phone: 571-758-2524