Organization · Type 2 NPI

Douglas Medical Group

Specialist · Douglasville, GA

NPI number 1104886316 Active

Practice location

6025 Professional Pkwy, Suite 200
Douglasville, GA 30134-5609

Call (770) 949-0555 Map

Fax (770) 949-4424

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X019103 (GA)
Specialist 174400000X027530 (GA)
Specialist 174400000X038955 (GA)
Specialist 174400000XRN070145 (GA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1104886316

Douglas Medical Group's National Provider Identifier is 1104886316, issued on Mar 23, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Douglasville, GA. The record was last updated on Aug 22, 2020.