Hightower, Richard Russell
Hightower, Richard Russell is an individual health care provider with primary practice located at 1000 Towne Center Blvd Bldg 1200 , Pooler GA 31322-4129. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hightower, Richard Russell can be contacted via phone (912) 748-2280.Contact Information
Primary practice address
1000 Towne Center Blvd Bldg 1200
Pooler GA 31322-4129
Phone: (912) 748-2280
Fax: (912) 748-4988
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 39367 | Georgia |
Profile Details
| NPI number | 1487652285 |
|---|---|
| LBN Legal business name | Hightower, Richard Russell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2005 |
| Last updated | Feb 1st, 2024 - about 10 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487652285 | NPPES |
| Georgia | MEDICAID | 000842861B | |
| Georgia | Other | 925527 | |
| Georgia | MEDICAID | G39367 | |
| Georgia | Other | P00168254 | |
| Georgia | MEDICAID | 000842861C |
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