National Provider Identifier Database

DOUGLAS MEDICAL SPECIALIST
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.


Contact Information

DOUGLAS MEDICAL SPECIALIST
134 E FLEETWOOD AVE
WILLACOOCHEE, GA31650
Phone: 912-384-3338
Fax: 912-383-6365
Website:
Specialty Taxonomy Code
* Internal Medicine 207R00000X

* Indicates primary specialty

NPI Profile & details for DOUGLAS MEDICAL SPECIALIST

NPI Number 1114114055
Legal business name
LBN
DOUGLAS MEDICAL SPECIALIST
Authorized official MARSHALL TANNER - (DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 09/25/2007
Last updated 10/30/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 056658
  • GA Other: 1225021678 NPI
  • GA Other: 1326031865 NPI
  • GA Other: 1750374294 NPI
  • GA Other: 1891815924 NPI

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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