Provider Demographics
NPI:1730184284
Name:HIGH, ERIC DONOVAN (MD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:DONOVAN
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 1:970 CRANBROOK GLEN LN
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30078-7905
Mailing Address - Country:US
Mailing Address - Phone:301-906-8371
Mailing Address - Fax:
Practice Address - Street 1:2675 NORTH DECATUR ROAD
Practice Address - Street 2:SUITE 506
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-2111
Practice Address - Country:US
Practice Address - Phone:404-299-1679
Practice Address - Fax:404-508-7694
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-20
Last Update Date:2012-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA057819207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology