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Contact Information

DOUGLAS MEDICAL & SURGICAL GROUP, PC
203 SHIRLEY AVE
DOUGLAS, GA31533-2327
 Phone: 912-384-7300
 Fax: 912-384-5941
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for DOUGLAS MEDICAL SURGICAL GROUP PC · (Female)

NPI # 1710205927
Status Active
Credentials
Entity Individual
Enumeration date 05/12/2010
Last updated 04/24/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA License # 024302
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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