Gerald S Light MD

NPI 1073509105 - Internal Medicine - 207RN0300X

NPI Details
NPI 1073509105
Gender Male
Enumeration Date 09/23/2005
Last Updated 07/09/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
3564B NORTHCROSSING CIR
VALDOSTA GA, 31602-1067, US
Phone (229) 247-1414
Fax (229) 247-1978
Business Location
3564B NORTHCROSSING CIR
VALDOSTA GA, 31602-1067, US
Phone (229) 247-1414
Fax (229) 247-1978
Toxanomy
Taxonomy Code 207RN0300X
License State Georgia
License Number 018237
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According to our database, Dr. Gerald S Light MD NPI is 1073509105, taxonomy code is 207RN0300X and license number is 018237, license state is located at Georgia. Gerald S Light MD physically located at 3564b Northcrossing Cir, Valdosta GA, 31602-1067. NPI Number Gerald S Light MD has the Individual type.

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1073509105 NPI number is provided on an as is basis without warranty of any kind. 1073509105 is maintained by the National Plan & Provider Enumeration System. The contents of Gerald S Light MD are for informational purposes only.