Light, Gerald S
Light, Gerald S is an individual health care provider with primary practice located at 3564B Northcrossing Cir , Valdosta GA 31602-1067. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Light, Gerald S can be contacted via phone (229) 247-1414.Contact Information
Primary practice address
3564B Northcrossing Cir
Valdosta GA 31602-1067
Phone: (229) 247-1414
Fax: (229) 247-1978
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 018237 | Georgia |
Profile Details
| NPI number | 1073509105 |
|---|---|
| LBN Legal business name | Light, Gerald S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2005 |
| Last updated | Jul 9th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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