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NPI Code Detail

MEDICARE: HIGHLANDS PROFESSIONAL SERVICES

MEDICARE: HIGHLANDS PROFESSIONAL SERVICES
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
1363LX0106XOccupational Health Nurse Practitioner
2207PE0005XUndersea and Hyperbaric Medicine (Emergency Medicine) Physician
3207LP2900XPain Medicine (Anesthesiology) Physician
4207Q00000XFamily Medicine Physician
5163WW0000XWound Care Registered Nurse
6208000000XPediatrics Physician
7208600000XSurgery Physician
82083X0100XOccupational Medicine Physician
9208M00000XHospitalist Physician
102083P0011XUndersea and Hyperbaric Medicine (Preventive Medicine) Physician
11207V00000XObstetrics & Gynecology Physician
122084S0012XSleep Medicine (Psychiatry & Neurology) Physician
13174400000XSpecialist

General Provider Information

NPI Number : 1750041786
Entity Type Code : Organization
Provider Name (Legal Business Name) : HIGHLANDS PROFESSIONAL SERVICES
Provider Business Mailing Address
First Line : PO BOX 1050
Second Line :
City : SCOTTSBORO
State : AL
Zip : 35768-1050
Country : US
Telephone Number : 256-218-3680
Fax Number :
Provider Business Practice Location Address
First Line : 408 TAYLOR ST
Second Line :
City : SCOTTSBORO
State : AL
Zip : 35768-2424
Country : US
Telephone Number : 256-259-5211
Fax Number :
Authorized Official
Title or Position : CFO
Name : CHRIS HOVANEC
Credential :
Telephone Number : 256-218-3680
Provider Enumeration Date : 12/17/2021
Last Update Date : 01/14/2026

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Directions to “HIGHLANDS PROFESSIONAL SERVICES ” Practice Location

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