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Contact Information

MARTIN R DOUGLAS, MD
3949 BROWNING PL
RALEIGH, NC27609-6504
 Phone: 919-787-8221
 Fax: 919-789-4461
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Body Imaging

2085B0100X
Indicates primary specialty

NPI Profile & details for MARTIN R DOUGLAS · (Male)

NPI Number 1396703153
Status Active
Credentials MD
Entity Individual
Enumeration date 05/02/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • NC Medicaid 89126JY
  • NC Other 126JY BLUECROSS BLUESHIELD
  • NC Other 98392 MEDCOST
  • NC Other A3337 MEDCOST
  • NC Other A3339 MEDCOST
  • NC Other 14-20567 UNITED HEALTHCARE
  • NC Other 16-56305 UNITED HEALTHCARE
  • NC Other 16-56796 UNITED HEALTHCARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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