Healthcare Provider Details

I. General information

NPI: 1750423836
Provider Name (Legal Business Name): HIGHLANDS ANESTHESIA ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HWY 64 E AT HOSPITAL DRIVE
HIGHLANDS NC
28741
US

IV. Provider business mailing address

PO BOX 70097
MARIETTA GA
30007-0097
US

V. Phone/Fax

Practice location:
  • Phone: 828-526-1200
  • Fax:
Mailing address:
  • Phone: 770-578-1800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: LEILA MARTIN
Title or Position: PRESIDENT
Credential: MD
Phone: 828-526-3115