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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 Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

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

NPI # 1710205927
LBN Legal business name DOUGLAS MEDICAL & SURGICAL GROUP, PC
Authorized official WILLIAM MILLER - (C.E.O.)
Entity Organization
Organization subpart 1 No
Enumeration date 05/12/2010
Last updated 04/24/2020 - About 6 years ago
Identifiers
GA License # 024302
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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