Provider Demographics
NPI:1174824791
Name:TOP FLIGHT MEDICAL GROUP LLC
Entity Type:Organization
Organization Name:TOP FLIGHT MEDICAL GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:SEKOU
Authorized Official - Middle Name:FRANK
Authorized Official - Last Name:MOLETTE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-340-3436
Mailing Address - Street 1:PO BOX 330760
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-7505
Mailing Address - Country:US
Mailing Address - Phone:615-340-3436
Mailing Address - Fax:615-340-3438
Practice Address - Street 1:110 HILLWOOD DR
Practice Address - Street 2:SPECIALTY CLINIC
Practice Address - City:WAVERLY
Practice Address - State:TN
Practice Address - Zip Code:37185-2116
Practice Address - Country:US
Practice Address - Phone:615-340-3436
Practice Address - Fax:615-340-3438
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-12
Last Update Date:2010-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty