1700 HOSPITAL SOUTH DR SUITE 202
AUSTELL, GA 30106-6810 US PECOS Enrolled
Overview
Harry M Lightfoot is a General Surgeon in the AUSTELL area and has over 30 years of experience. Harry M Lightfoot primary office location is at 1700 HOSPITAL SOUTH DR and new patients are welcome to contact this healthcare provider for an appointment. We do not know where he was educated but we know that he graduated in 1994
Harry M Lightfoot is affiliated with one hospital in the AUSTELL area, WELLSTAR COBB HOSPITAL. The NPI number is 1205848272 and the information was updated approximately 10 years ago.
Harry M Lightfoot is affiliated with one medical group in the AUSTELL area, WELLSTAR MEDICAL GROUP, LLC.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 2002-01117 | NC |
| 200201117 | GA |
| 200201117 | NC |
| Type/Issuer | Identifier | State |
|---|---|---|
| NC LICENSE NUMBER | 200201117 | NC |
| Taxonomy | State | Primary? |
|---|---|---|
| General Surgeon - Taxonomy Code 208600000X | GA | Y |
| Specialist - Taxonomy Code 174400000X | NC | N |
| General Surgeon - Taxonomy Code 208600000X | NC | N |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20080610000453 |
| PECOS Individual PAC ID: | 8325047756 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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