| Doctor Name: | DR. DOUGLAS WISTER LIGON |
| NPI Number: | 1376579730 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | MD0000006383 |
| Business Practice Address: | 4895 East Main St Ste A Erin, TN - 37061 |
| Business Phone Number: | 9312892929 |
| Business Fax Number: | 9312892930 |
| Mailing Address: | Po Box 268, ERIN |
| State: | TN |
| Postal Code: | 370610268 |
| Phone Number: | 9312892929 |
| Fax Number: | 9312892930 |
| NPI Enumeration Date: | 06/25/2006 |
| NPI Last Update Date: | 05/07/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207SG0201X |
| License Number: | MD0000006383 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Medical Genetics |
| Taxonomy Specialization: | Clinical Genetics (M.D.) |
| Taxonomy Definition: | A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |