Towne Lake Internal Medicine, LLC

Primary specialty

Legal MedicineTaxonomy code 173000000X

Legal business name

TOWNE LAKE INTERNAL MEDICINE, LLC

Doing business as

Towne Lake Internal Medicine

Practice address

1000 Wyngate Pkwy
Ste 210
Woodstock, GA 30189-6981

Phone

(770) 928-3132

Fax

(770) 928-9109

NPI assigned

Nov 29, 2007

Last updated

Nov 12, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Hilary Thomas Hight III, MD

Title

Internist

Phone

(770) 928-3132

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Towne Lake Internal Medicine Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447286400000",
    "number": "1932381233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 WYNGATE PKWY",
            "address_2": "STE 210",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301896981",
            "telephone_number": "770-928-3132",
            "fax_number": "770-928-9109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WYNGATE PKWY",
            "address_2": "STE 210",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301896981",
            "telephone_number": "770-928-3132",
            "fax_number": "770-928-9109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWNE LAKE INTERNAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2015-11-12",
        "status": "A",
        "authorized_official_last_name": "HIGHT",
        "authorized_official_first_name": "HILARY",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "INTERNIST",
        "authorized_official_telephone_number": "770-928-3132",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DC0831",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Towne Lake Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Legal Medicine in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Legal Medicine in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.