Healthcare Provider Details

I. General information

NPI: 1184925794
Provider Name (Legal Business Name): TOP FLIGHT MEDICAL GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2010
Last Update Date: 11/12/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

617 W MAIN ST
HOHENWALD TN
38462-1355
US

IV. Provider business mailing address

PO BOX 330760
NASHVILLE TN
37203-7505
US

V. Phone/Fax

Practice location:
  • Phone: 615-340-3436
  • Fax: 615-340-3438
Mailing address:
  • Phone: 615-340-3436
  • Fax: 615-340-3438

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: SEKOU FRANK MOLETTE
Title or Position: PHYSICIAN
Credential: MD
Phone: 615-340-3436