Healthcare Provider Details

I. General information

NPI: 1033987946
Provider Name (Legal Business Name): RH EMERGENCY MEDICINE OF HIGHLAND COMMUNITY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2023
Last Update Date: 04/24/2025
Certification Date: 04/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 HIGHLAND PKWY
PICAYUNE MS
39466-5574
US

IV. Provider business mailing address

PO BOX 7058
TUPELO MS
38802-7058
US

V. Phone/Fax

Practice location:
  • Phone: 601-358-9400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER KATHRYN WAKEFORD
Title or Position: ENTERPRISE, CFO
Credential:
Phone: 205-901-5103