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Contact Information

WELLSTAR DOUGLAS SURGICAL ASSOCIATES, LLC
6002 PROFESSIONAL PARKWAY
SUITE 260
DOUGLASVILLE, GA30134
 Phone: 770-942-4822
 Fax: 770-942-5311
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for WELLSTAR DOUGLAS SURGICAL ASSOCIATES LLC · (Female)

NPI # 1477560340
Status Active
Credentials
Entity Individual
Enumeration date 08/02/2006
Last updated 07/14/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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