Individual
DR. JIMMY LIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 IRVING ST NW, SUITE 3D - 31, WASHINGTON, DC 20010-2976
(202) 877-6029
Mailing address
4204 ROSEMARY ST, CHEVY CHASE, MD 20815-5218
(301) 657-3113
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
MD25560
DC
208600000X
Surgery Physician
MD25560
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007305818
—
DC
05
—
025597100
—
DC
05
—
327801200
—
DC
Enumeration date
01/24/2006
Last updated
06/27/2008
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