Healthcare Provider Details

I. General information

NPI: 1124079777
Provider Name (Legal Business Name): HOWARD ERNEST HIGHTOWER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 11/07/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

727 N MAIN ST
EMPORIA VA
23847-1274
US

IV. Provider business mailing address

727 N MAIN ST
EMPORIA VA
23847-1274
US

V. Phone/Fax

Practice location:
  • Phone: 434-348-4835
  • Fax: 434-348-4945
Mailing address:
  • Phone: 434-348-4835
  • Fax: 434-348-4945

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number0101038733
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: