TOP FLIGHT MEDICAL GROUP - NPI NUMBER 1417299223
Provider Name: TOP FLIGHT MEDICAL GROUP
NPI Number: 1417299223
Clasification: Specialist (174400000X)
1150 PERIMETER PARK DR
Phone Number: (615) 340-3436
TOP FLIGHT MEDICAL GROUP is a specialist in Cookeville, TN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. The assigned NPI number for this provider is 1417299223 and is registered as an organization entity type and is a single specialty group.
The provider's business address is:
1150 PERIMETER PARK DR
Phone: (615) 340-3436
Fax: (877) 472-3945
The provider's authorized official is Sekou Fm Molette .
The authorized official title is Physician and has the following contact phone number (615) 340-3436.
The enumeration date for this NPI number is 3/19/2013 and was last updated on 3/19/2013.
Map - Location of Practice
||DR. SCOTT A COPELAND, M.D.
||SPENCER J. MADELL, MD
||HIGHLANDS DERMATOLOGY AND SURGICAL ASSOCIATES
||DR. THUY T NGO, M.D.
||DR. MELVIN SETH RAPELYEA, M.D.
||DR. STEVEN L CLEMONS, M.D.
||MIDDLE TENNESSEE SURGICAL SPECIALISTS, LLC
The following information regarding the scope of practice of this provider is available:
Other (Legacy) Identifiers
The following legacy identifiers are available for this provider:
||Entity Type Code
||Employer Identification Number EIN
||Provider Organization Name Legal Business Name
||TOP FLIGHT MEDICAL GROUP
||Provider First Line Business Practice Location Address
||1150 PERIMETER PARK DR
||Provider Business Practice Location Address City Name
||Provider Business Practice Location Address State Name
||Provider Business Practice Location Address Postal Code
||Provider Business Practice Location Address Country Code If outside U S
||Provider Business Practice Location Address Telephone Number
||Provider Business Practice Location Address Fax Number
||Provider Enumeration Date
||Last Update Date
||Authorized Official Last Name
||Authorized Official First Name
||Authorized Official Middle Name
||Authorized Official Title or Position
||Authorized Official Telephone Number
||Healthcare Provider Taxonomy Code 1
||Provider License Number 1
||Provider License Number State Code 1
||Healthcare Provider Primary Taxonomy Switch 1
||Other Provider Identifier 1
||Other Provider Identifier Type Code 1
||Other Provider Identifier State 1
||Is Organization Subpart
||Authorized Official Credential Text
||Healthcare Provider Taxonomy Group 1
||193400000X SINGLE SPECIALTY GROUP
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This page was last updated on: 2/10/2015
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