TOP FLIGHT MEDICAL GROUP LLC - NPI NUMBER 1588948459

Summary

Provider Name: TOP FLIGHT MEDICAL GROUP LLC

NPI Number: 1588948459

Clasification: Specialist (174400000X)

Address:
2555 N WASHINGTON AVE
BROWNSVILLE, TN
ZIP 38012

Phone Number: (615) 340-3436



Detailed Information

TOP FLIGHT MEDICAL GROUP LLC is a specialist in Brownsville, 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 1588948459 and is registered as an organization entity type and is a single specialty group.

The provider's business address is:

2555 N WASHINGTON AVE
BROWNSVILLE, TN
ZIP 38012-610
Phone: (615) 340-3436
Fax: (615) 340-3438

The provider's authorized official is Sekou Molette .
The authorized official title is Owner and has the following contact phone number (615) 340-3436.

The enumeration date for this NPI number is 10/10/2011 and was last updated on 10/10/2011.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 174400000X Specialist Yes

NPI Record

No. Field Name Field Value
1 NPI 1588948459
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name TOP FLIGHT MEDICAL GROUP LLC
5 Provider First Line Business Practice Location Address 2555 N WASHINGTON AVE
6 Provider Business Practice Location Address City Name BROWNSVILLE
7 Provider Business Practice Location Address State Name TN
8 Provider Business Practice Location Address Postal Code 380121610
9 Provider Business Practice Location Address Country Code If outside U S US
10 Provider Business Practice Location Address Telephone Number 6153403436
11 Provider Business Practice Location Address Fax Number 6153403438
12 Provider Enumeration Date 10/10/2011
13 Last Update Date 10/10/2011
14 Authorized Official Last Name MOLETTE
15 Authorized Official First Name SEKOU
16 Authorized Official Title or Position OWNER
17 Authorized Official Telephone Number 6153403436
18 Healthcare Provider Taxonomy Code 1 174400000X
19 Healthcare Provider Primary Taxonomy Switch 1 Y
20 Is Organization Subpart N
21 Authorized Official Name Prefix Text DR.
22 Authorized Official Credential Text MD
23 Healthcare Provider Taxonomy Group 1 193400000X SINGLE SPECIALTY GROUP

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This page was last updated on: 7/15/2014
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