Individual
DR. WILLIAM H LIGHT
Active
Individual
DR. WILLIAM H LIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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