TOP FLIGHT MEDICAL GROUP - NPI NUMBER 1740527134

Summary

Provider Name: TOP FLIGHT MEDICAL GROUP

NPI Number: 1740527134

Clasification: Specialist (174400000X)

Address:
3525 CHERE CAROL RD
HUMBOLDT, TN
ZIP 38343

Phone Number: (615) 340-3436



Detailed Information

TOP FLIGHT MEDICAL GROUP is a specialist in Humboldt, 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 1740527134 and is registered as an organization entity type and is a single specialty group.

The provider's business address is:

3525 CHERE CAROL RD
HUMBOLDT, TN
ZIP 38343-638
Phone: (615) 340-3436
Fax: (877) 472-3945

The provider's authorized official is Sekou 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 1/7/2013 and was last updated on 1/7/2013.

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 31865 TN Yes

NPI Record

No. Field Name Field Value
1 NPI 1740527134
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name TOP FLIGHT MEDICAL GROUP
5 Provider First Line Business Practice Location Address 3525 CHERE CAROL RD
6 Provider Business Practice Location Address City Name HUMBOLDT
7 Provider Business Practice Location Address State Name TN
8 Provider Business Practice Location Address Postal Code 383433638
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 8774723945
12 Provider Enumeration Date 1/7/2013
13 Last Update Date 1/7/2013
14 Authorized Official Last Name MOLETTE
15 Authorized Official First Name SEKOU
16 Authorized Official Title or Position PHYSICIAN
17 Authorized Official Telephone Number 6153403436
18 Healthcare Provider Taxonomy Code 1 174400000X
19 Provider License Number 1 31865
20 Provider License Number State Code 1 TN
21 Healthcare Provider Primary Taxonomy Switch 1 Y
22 Is Organization Subpart N
23 Authorized Official Credential Text MD
24 Healthcare Provider Taxonomy Group 1 193400000X SINGLE SPECIALTY GROUP

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This page was last updated on: 9/11/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.