| Organization Name: | HIGHLAND WELLNESS LLC |
| NPI Number: | 1427394618 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JANET D PALMER (BILLING MANAGER) |
| Mailing Address: | 240 N Highland Ave Ne Suite F Atlanta |
| State: | GA US |
| Postal Code: | 303075609 |
| Phone Number: | 7703510043 |
| Fax Number: | 8882706380 |
| NPI Enumeration Date: | 12/17/2012 |
| NPI Last Update Date: | 12/17/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 19354 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |