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Individual

HARRY M LIGHTFOOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3080 HIGHLANDS PKWY SE, SMYRNA, GA 30082-5181
(404) 445-8887
(866) 525-8997
Mailing address
3080 HIGHLANDS PKWY SE, SMYRNA, GA 30082-5181
(404) 445-8887
(866) 525-8997

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
200201117
NC
208600000X
Surgery Physician
2002-01117
NC
208600000X
Surgery Physician
Primary
200201117
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
200201117
NC LICENSE NUMBER
NC
Enumeration date
08/11/2006
Last updated
06/06/2024
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