Individual
JOEL LIGHTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
60 HOSPITAL RD, NEWNAN, GA 30263-1210
(770) 253-2330
Mailing address
37 CALUMET PKWY, #F-STE 103, NEWNAN, GA 30263-6734
(770) 253-3006
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
016476
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00229622A
—
GA
Enumeration date
07/19/2006
Last updated
11/02/2010
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