Lightfoot, Elijah

Lightfoot, Elijah is an sole proprietor health care provider with primary practice located at 1021 Laney-Walker Blvd. , Augusta GA 30901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Lightfoot, Elijah can be contacted via phone (706) 724-1206.

Contact Information

Primary practice address
1021 Laney-Walker Blvd. Augusta GA 30901
Phone: (706) 724-1206
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 10112 South Carolina

Profile Details

NPI number 1679551451
LBN Legal business name Lightfoot, Elijah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2006
Last updated Jul 9th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1679551451 NPPES
South Carolina MEDICAID 101124

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