Provider Demographics
NPI:1194731984
Name:HIGH, THOMAS J (MD)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:J
Last Name:HIGH
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 DELMONT DR NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-3220
Mailing Address - Country:US
Mailing Address - Phone:404-847-9480
Mailing Address - Fax:404-847-9479
Practice Address - Street 1:315 DELMONT DR NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30305-3220
Practice Address - Country:US
Practice Address - Phone:404-847-9480
Practice Address - Fax:404-847-9479
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA26128207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA26128OtherSTATE LICENSE
GA26128OtherSTATE LICENSE
GA26128OtherSTATE LICENSE