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General NPI Number Information
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NPI Number | 1326068669
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Entity Type | Individual
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Provider Name | JASON M HIGHSMITH MD
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Gender | Male
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 05/24/2023
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Provider Practice Location Address
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Address Line | 7301 RIVERS AVE STE 242
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City | N CHARLESTON
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State | SC
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Zip | 29406-4616
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Country | US
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Telephone | 843-510-0727
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Fax | 843-474-0712
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Provider Business Mailing Address
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Address Line | 7301 RIVERS AVE STE 242
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City | N CHARLESTON
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State | SC
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Zip | 29406-4616
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Country | US
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Telephone | 843-510-0727
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Fax | 843-474-0712
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 057641
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 29442
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License Number State | SC
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