MEDICARE: TOP FLIGHT MEDICAL GROUP LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

General Provider Information

NPI Number	:	1447551064
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOP FLIGHT MEDICAL GROUP LLC

Provider Business Mailing Address
First Line	:	PO BOX 330760
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-7505
Country	:	US
Telephone Number	:	615-340-3436
Fax Number	:	615-340-3438

Provider Business Practice Location Address
First Line	:	103 REDBUD DR
Second Line	:	SUITE A
City	:	PORTLAND
State	:	TN
Zip	:	37148-1617
Country	:	US
Telephone Number	:	615-340-3436
Fax Number	:	615-340-3438

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	SEKOU F MOLETTE
Credential	:	MD
Telephone Number	:	615-340-3436

Provider Enumeration Date	:	11/12/2010
Last Update Date	:	11/12/2010

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Directions to “TOP FLIGHT MEDICAL GROUP LLC ” Practice Location

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