Individual
MRS. VICKI W LIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
706 SUMMIT CROSSING PL, GASTONIA, NC 28054-2175
(704) 854-3600
(704) 854-3619
Mailing address
706 SUMMIT CROSSING PL, GASTONIA, NC 28054-2175
(704) 854-3600
(704) 854-3619
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
39516
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8951925
—
NC
Enumeration date
04/18/2006
Last updated
05/04/2017
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