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Contact Information

JOHN W DOUGLAS, MD
15190 COMMUNITY RD
SUITE 220
GULFPORT, MS39503-3485
 Phone: 228-539-3356
 Fax: 228-539-3225
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sleep Medicine

207RS0012X 11 Physician/Internal Medicine
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for JOHN W DOUGLAS · (Male)

NPI # 1972530335
Status Active
Credentials MD
Entity Individual
Enumeration date 06/28/2006
Last updated 04/10/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 08130
  • MS License # 8130
  • MS Medicaid 00019714
  • MS Other 08130 STATE LICENSE
Hospital affiliation(s)
  • BILOXI REGIONAL MEDICAL CENTER - (Acute Care)
    150 REYNOIR STREET
    BILOXI, MS 39530
  • MEMORIAL HOSPITAL AT GULFPORT - (Acute Care)
    4500 13TH ST-P O BOX 1810
    GULFPORT, MS 39502
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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