National Provider Identifier Database

DOUGLAS MEDICAL SURGICAL GROUP PC
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


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
* General Practice 208D00000X
Surgery 208600000X

* Indicates primary specialty

NPI Profile & details for DOUGLAS MEDICAL & SURGICAL GROUP, PC

NPI Number 1710205927
Legal business name
LBN
DOUGLAS MEDICAL & SURGICAL GROUP, PC
Authorized official WILLIAM MILLER - (C.E.O.)
Entity Organization
Organization subpart No
Enumeration date 05/12/2010
Last updated 04/24/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 024302

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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