MEDICARE: HIGHTOWER FAMILY MEDICINE, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	24370	AL

General Provider Information

NPI Number	:	1063424059
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HIGHTOWER FAMILY MEDICINE, PC

Provider Business Mailing Address
First Line	:	840 MONTCLAIR RD
Second Line	:	SUITE 707
City	:	BIRMINGHAM
State	:	AL
Zip	:	35213-1920
Country	:	US
Telephone Number	:	205-599-2345
Fax Number	:	205-599-2348

Provider Business Practice Location Address
First Line	:	840 MONTCLAIR RD
Second Line	:	SUITE 707
City	:	BIRMINGHAM
State	:	AL
Zip	:	35213-1920
Country	:	US
Telephone Number	:	205-599-2345
Fax Number	:	205-599-2348

Authorized Official
Title or Position	:	PRESIDENT
Name	:	STEPHANIE M HIGHTOWER
Credential	:	MD
Telephone Number	:	205-599-2345

Provider Enumeration Date	:	08/12/2006
Last Update Date	:	11/24/2009

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