Organization
MOBILE SURGICAL SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM MALCOLM LIGHTFOOT M.D. (PRESIDENT)
(251) 633-4064
Entity
Organization
Contact information
Practice address
6701 AIRPORT BLVD, SUITE D231, MOBILE, AL 36608-6705
(251) 633-4064
(251) 633-0122
Mailing address
6701 AIRPORT BLVD, SUITE D231, MOBILE, AL 36608-6705
(251) 633-4064
(251) 633-0122
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
00006907
AL
208600000X
Surgery Physician
00026047
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020038001
RAILROAD MEDICARE-WML
AL
01
—
1710151
UNITED HEALTHCARE-WML
AL
01
—
3700108
UNITED HEALTHCARE-RFH
AL
01
—
51006999
BCBS-WML
AL
01
—
51523580
BCBS-RFH
AL
01
—
CI2733
RAILROAD MEDICARE-GROUP
AL
05
—
HW0099964115
—
AL
05
—
LI000006999
—
AL
01
—
P00157802
RAILROAD MEDICARE-RFH
AL
Enumeration date
07/22/2006
Last updated
12/17/2008
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