Individual
DR. RICHARD RUSSELL HIGHTOWER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 TOWNE CENTER BLVD BLDG 1200, POOLER, GA 31322-4129
(912) 748-2280
(912) 748-4988
Mailing address
1000 TOWNE CENTER BLVD BLDG 1200, POOLER, GA 31322-4129
(912) 748-2280
(912) 748-4988
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39367
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000842861B
—
GA
05
—
000842861C
—
GA
01
—
925527
BCBS
GA
05
—
G39367
—
SC
01
—
P00168254
RR MEDICARE
GA
Enumeration date
07/14/2005
Last updated
02/01/2024
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