Provider Demographics
NPI:1952702540
Name:HIGHLANDS FAMILY CARE LLC
Entity Type:Organization
Organization Name:HIGHLANDS FAMILY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:L
Authorized Official - Last Name:FOSHEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:256-657-2025
Mailing Address - Street 1:PO BOX 1050
Mailing Address - Street 2:
Mailing Address - City:SCOTTSBORO
Mailing Address - State:AL
Mailing Address - Zip Code:35768-1050
Mailing Address - Country:US
Mailing Address - Phone:256-218-3856
Mailing Address - Fax:
Practice Address - Street 1:7655 ALABAMA HWY 71
Practice Address - Street 2:
Practice Address - City:DUTTON
Practice Address - State:AL
Practice Address - Zip Code:35744
Practice Address - Country:US
Practice Address - Phone:256-657-2025
Practice Address - Fax:256-657-2028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-15
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD32050207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty