Melvin W Lightford Md | |
131 French Landing Dr Nashville TN 37228-1511 | |
(615) 254-9981 | |
(615) 254-9747 |
Full Name | Melvin W Lightford Md |
---|---|
Speciality | Internal Medicine |
Location | 131 French Landing Dr, Nashville, Tennessee |
Authorized Official Name and Position | Melvin W Lightford (PRINCIPAL) |
Authorized Official Contact | 6152549981 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Melvin W Lightford Md 131 French Landing Dr Nashville TN 37228-1511 Ph: (615) 254-9981 | Melvin W Lightford Md 131 French Landing Dr Nashville TN 37228-1511 Ph: (615) 254-9981 |
NPI Number | 1366484032 |
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Provider Enumeration Date | 06/10/2006 |
Last Update Date | 10/04/2007 |
Medicare PECOS PAC ID | 8426960162 |
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Medicare Enrollment ID | O20031103000155 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366484032 | NPI | - | NPPES |
4438809 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
3714012 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
332900000X | Non-pharmacy Dispensing Site | 15942 (Tennessee) | Secondary |
Provider Name | Melvin W Lightford |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1467494591 PECOS PAC ID: 8820900566 Enrollment ID: I20040617000564 |
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