Dr. Gerald S Light
Nephrologist
3564b Northcrossing Cir
Valdosta
, Georgia 31602-1067
Dr. Gerald S Light
Nephrologist
3564b Northcrossing Cir
Valdosta
, Georgia 31602-1067
(229) 247-1978
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About
Features
Specialties
- Nephrologist
Languages spoken
- English
Location
First Address
- Dr. Gerald S Light
- 3564b Northcrossing Cir
- Valdosta, GA
- Zip : 31602-1067
- Fax : (229) 247-1978
- Phone : (229) 247-1414
Second Address
- Dr. Gerald S Light
- 3564b Northcrossing Cir
- Valdosta, GA
- Zip : 31602-1067
- Fax : (229) 247-1978
- Phone : (229) 247-1414
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RN0300X | Nephrologist | 018237 | GA |
National Provider Identifier
| NPI | 1073509105 |
|---|---|
| Provider Name | Dr. Gerald S Light |
| First Address | Valdosta, GA 31602-1067 |
| Second Address | Valdosta, GA 31602-1067 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/09/2005 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| D30066 | (02) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.