Individual
DR. HARRELL LIGHTFOOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 E WENDOVER AVE STE 411, GREENSBORO, NC 27401-1211
(336) 832-3200
Mailing address
61 WHITCHER STREET, SUITE 4100, MARIETTA, GA 30060-1181
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
076489
GA
Other
Enumeration date
06/16/2008
Last updated
08/25/2021
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