Organization · Type 2 NPI
Douglas Medical Specialist
Cardiovascular Disease Physician · Douglas, GA
NPI number
1154475085
Active
Practice location
200 Doctors Dr Ste 106
Douglas, GA 31533-2202
Fax (912) 383-6365
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine Physician | 207R00000X | 038423 (GA) |
| Internal Medicine Physician | 207R00000X | 053749 (GA) |
| Internal Medicine Physician | 207R00000X | 056658 (GA) |
| Cardiovascular Disease Physician Primary | 207RC0000X | 024996 (GA) |
| Primary Care Nurse Practitioner | 363LP2300X | RN101998 (GA) |
Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
2 other providers at this address
Other cardiovascular disease physician providers in Douglas
About NPI 1154475085
Douglas Medical Specialist's National Provider Identifier is 1154475085, issued on Jan 22, 2007. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Douglas, GA. The record was last updated on Sep 11, 2025.