Organization
HIGHLAND NEUROLOGY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KOFI ADELEKE DOONQUAH M.D. (PHYSICIAN)
(336) 347-7998
Entity
Organization
Contact information
Practice address
2509 RICHARDSON DR STE A, REIDSVILLE, NC 27320-5926
(336) 347-7998
(336) 348-6745
Mailing address
2509 RICHARDSON DR STE A, REIDSVILLE, NC 27320-5926
(336) 347-7998
(336) 348-6745
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
0101226371
VA
2084N0400X
Neurology Physician
Primary
200000774
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7117485
VA MEDICAID
VA
05
—
89127VG
—
NC
Enumeration date
07/07/2005
Last updated
04/14/2020
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