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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DOUGLAS MEDICAL GROUP

Active Organization

DOUGLAS MEDICAL GROUP is a Specialist organization located in DOUGLASVILLE, Georgia. NPI 1104886316 is currently active in the NPPES registry. Verify at CMS.

Specialist · DOUGLASVILLE, GA

Registration Details

NPI Number
1104886316
Provider Type
Organization
NPI Issued
Mar 23, 2006 (20.41494679407 yrs)
Last Updated
Aug 22, 2020
Licenses
027530 (GA)
038955 (GA)
RN070145 (GA)
019103 (GA)

Practice Information

Address
6025 PROFESSIONAL PKWY
SUITE 200
DOUGLASVILLE, GA, 301345609
Browse GA providers · Browse ZIP 30134
Phone
7709490555
Fax
7709494424
Primary Specialty
Specialist
174400000X
Additional Specialty
Specialist
Additional Specialty
Specialist
Additional Specialty
Specialist
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.