Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MICHAEL R DOUCETTE JR., LDO
ActiveMR. MICHAEL R DOUCETTE JR., LDO is a Optician, Dispensing healthcare provider located in ELLIJAY, Georgia. NPI 1275305708 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · ELLIJAY, GA
Registration Details
- NPI Number
- 1275305708
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 27, 2023 (2.7565937180409 yrs)
- Last Updated
- Oct 27, 2023
- License
-
LDO002685 (GA)
Practice Information
- Address
-
180 TOCCOA CTELLIJAY, GA, 305400604Browse GA providers · Browse ZIP 30540
- Phone
- 7704021175
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Other Optician, Dispensing Providers in ELLIJAY, GA
| Name | Credential | NPI |
|---|---|---|
| DANIEL JAMES COPELAND | LDO | 1124710041 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.