Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marie Lightbourne, MD

Individual provider Family Medicine Physician · NPI 1114104767

Marie Lightbourne, MD is a Family Practice in Snellville, Georgia. Qualified in 2006, 20 years ago. Offers telehealth. Licensed in Georgia.

Years since qualifying
20
Licensed in
GA
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2356 Lenora Church Rd
Snellville, GA 30078-3233
Phone: (770) 972-0340
Fax: (770) 972-0379
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 001826 (GA)

Record details

NPI number1114104767
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 25, 2008
Last updated in NPPESJune 3, 2011
Mailing address2356 Lenora Church Road, Snellville, GA 30078

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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