=====================================================
General NPI Number Information
=====================================================
NPI Number | 1760486740
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HIGHTOWER MEDICAL SYSTEMS, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/08/2005
-----------------------------------------------------
Last Update Date | 03/08/2017
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 47 PERIMETER CENTER EAST SUITE 250
-----------------------------------------------------
City | ATLANTA
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30346-2004
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 888-979-1969
-----------------------------------------------------
Fax | 888-364-2489
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 47 PERIMETER CENTER EAST SUITE 250
-----------------------------------------------------
City | ATLANTA
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30346-2004
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 888-979-1969
-----------------------------------------------------
Fax | 888-364-2489
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OPERATIONS MANAGER
-----------------------------------------------------
Name | MS. JOY T HIGHSMITH
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 404-991-2248
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------