Mikell, Oswald Lightsey

Mikell, Oswald Lightsey is an individual health care provider with primary practice located at 3901 Main Ste D , Hilton Head Island SC 29926. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Mikell, Oswald Lightsey can be contacted via phone (843) 689-5259.

Contact Information

Primary practice address
3901 Main Ste D Hilton Head Island SC 29926
Phone: (843) 689-5259
Fax: (843) 689-3797
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 11219 South Carolina
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 11219 South Carolina
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 11219 South Carolina

Profile Details

NPI number 1669414819
LBN Legal business name Mikell, Oswald Lightsey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Aug 17th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669414819 NPPES
South Carolina MEDICAID 112194

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