Individual
DR. WILLIAM H LIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7715 WOLF RIVER BLVD, GERMANTOWN, TN 38138
(901) 328-6031
(901) 328-6035
Mailing address
PO BOX 405827, ATLANTA, GA 30384-5827
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13583
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3139108
BLUE CROSS OF TENNESSEE
TN
Enumeration date
05/16/2006
Last updated
10/25/2016
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