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Contact Information

TRAVIS A DOUGLASS, MD
550 PEACHTREE ST NE
ATLANTA, GA30308
 Phone: 404-686-4411
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for TRAVIS A DOUGLASS · (Male)

NPI Number 1073969895
Status Active
Credentials MD
Entity Individual
Enumeration date 05/11/2016
Last updated 07/29/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 08580
  • GA Medicaid 1073969895
Hospital affiliation(s)
  • EMORY UNIVERSITY HOSPITAL MIDTOWN - (Acute Care)
    550 PEACHTREE ST NE
    ATLANTA, GA 30308
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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