DOUGLAS MEDICAL SPECIALIST NPI 1154475085

NPI Information

NPI: 1154475085
Provider Name: DOUGLAS MEDICAL SPECIALIST
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
200 DOCTORS DR STE 106
DOUGLAS, GA
ZIP 31533
Phone: (912) 384-3338
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DOUGLAS MEDICAL SPECIALIST is a cardiovascular disease internal medicine in Douglas, GA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DOUGLAS MEDICAL SPECIALIST NPI is 1154475085. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

200 DOCTORS DR STE 106
DOUGLAS, GA
ZIP 31533-202
Phone: (912) 384-3338
Fax: (912) 383-6365

The provider's authorized official is Cindy Mcneil .
The authorized official title is Office Manager and has the following contact phone number (912) 384-3338.

The enumeration date for this NPI number is 1/22/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	024996	GEORGIA	Yes
2	207R00000X	Internal Medicine		038423	GEORGIA	X
3	207R00000X	Internal Medicine		053749	GEORGIA	X
4	207R00000X	Internal Medicine		056658	GEORGIA	X
5	363LP2300X	Nurse Practitioner	Primary Care	RN101998	GEORGIA	X

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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