Provider Demographics
NPI:1528033826
Name:HIGH, RHETT CHARLES (MD)
Entity Type:Individual
Prefix:DR
First Name:RHETT
Middle Name:CHARLES
Last Name:HIGH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1112 DRESSER CT
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-7303
Mailing Address - Country:US
Mailing Address - Phone:919-872-2616
Mailing Address - Fax:919-872-2771
Practice Address - Street 1:1112 DRESSER CT
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-7303
Practice Address - Country:US
Practice Address - Phone:919-872-2616
Practice Address - Fax:919-872-2771
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9400837174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7942253Medicaid
NCF95419Medicare UPIN
NC7942253Medicaid