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Contact Information

CHARLES J DOUCHY, MD
3850 PLEASANT HILL RD
DULUTH, GA30096-4807
 Phone: 770-814-8222
 Fax: 678-205-5111
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

Dermatopathology

207ND0900X 07 Physician/Dermatology
 

Procedural Dermatology

207NS0135X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for CHARLES J DOUCHY · (Male)

NPI Number 1003808361
Status Active
Credentials MD
Entity Individual
Enumeration date 08/22/2005
Last updated 10/02/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 040052
  • GA Medicaid 000663396E
  • GA Medicaid 000663396F
  • GA Medicaid 00663396B
  • GA Other 2498075 AETNA
  • GA Other 912915 BCBS
  • GA Other 070014632 RR MEDICARE
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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