Provider Demographics
NPI:1326438300
Name:HIGHTOWER, CRIS (RN,, CCM)
Entity Type:Individual
Prefix:
First Name:CRIS
Middle Name:
Last Name:HIGHTOWER
Suffix:
Gender:F
Credentials:RN,, CCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 HOSPITAL ROAD
Mailing Address - Street 2:DWIGHT D. EISENHOWER ARMY MEDICAL CENTER
Mailing Address - City:FORT GORDON
Mailing Address - State:GA
Mailing Address - Zip Code:30905
Mailing Address - Country:US
Mailing Address - Phone:706-787-8624
Mailing Address - Fax:706-787-8229
Practice Address - Street 1:300 HOSPITAL ROAD
Practice Address - Street 2:DWIGHT D. EISENHOWER ARMY MEDICAL CENTER
Practice Address - City:FORT GORDON
Practice Address - State:GA
Practice Address - Zip Code:30905
Practice Address - Country:US
Practice Address - Phone:706-787-8624
Practice Address - Fax:706-787-8229
Is Sole Proprietor?:No
Enumeration Date:2015-01-29
Last Update Date:2018-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN167612163W00000X, 171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No163W00000XNursing Service ProvidersRegistered Nurse