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Contact Information

DOUGLAS E GORMAN JR, MD
1920 CHADWICK DR
SUITE 108
JACKSON, MS39204-3471
 Phone: 601-373-3730
 Fax: 601-372-7431
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
 

Surgery of the Hand

2082S0105X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for DOUGLAS E GORMAN JR · (Male)

NPI Number 1699856419
Status Active
Credentials MD
Entity Individual
Enumeration date 10/18/2006
Last updated 07/06/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 08261
  • MS Medicaid 00010048
  • MS Other 640650720 CORP TAX ID
Hospital affiliation(s)
  • CENTRAL MISSISSIPPI MEDICAL CENTER - (Acute Care)
    1850 CHADWICK DR
    JACKSON, MS 39204
  • CROSSGATES RIVER OAKS HOSPITAL - (Acute Care)
    350 CROSSGATES BLVD
    BRANDON, MS 39042
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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