Provider Demographics
NPI:1326567181
Name:HIGH POINT OCCUPATIONAL HEALTHCARE SERVICES PLLC
Entity Type:Organization
Organization Name:HIGH POINT OCCUPATIONAL HEALTHCARE SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PEACE
Authorized Official - Middle Name:
Authorized Official - Last Name:JESSA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:859-338-9928
Mailing Address - Street 1:2401 HICKSWOOD RD STE 106
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-1538
Mailing Address - Country:US
Mailing Address - Phone:336-885-9675
Mailing Address - Fax:336-885-9682
Practice Address - Street 1:2401 HICKSWOOD RD STE 106
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-1538
Practice Address - Country:US
Practice Address - Phone:336-885-9675
Practice Address - Fax:336-885-9682
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC017372083X0100X
NC017312083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational MedicineGroup - Single Specialty