Andrew Ira Light, MD
Surgery in Gastonia, NC. Individual provider (NPI-1).
NPI number1629035530
StatusActive
Last updated in NPPESMay 21, 2009
Details
- NPI
- 1629035530
- Entity type
- Individual (NPI-1)
- Name
- Andrew Ira Light
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 26, 2006
- Last updated
- May 21, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 00-32756 | NC | Yes |
Practice location
1089 X Ray DrGastonia, NC 28054-7489
Phone 704-864-8377 · Fax 704-864-4442
Mailing address
1089 X Ray DrGastonia, NC 28054-7489
Phone 704-864-8377 · Fax 704-864-4442
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All 40 Surgery Physician providers in Gastonia · All 4,085 providers in Gastonia
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