Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SAMUEL LESSLEY ARDIS DOUGLAS, M.D.
Active Sole ProprietorDR. SAMUEL LESSLEY ARDIS DOUGLAS, M.D. is a Surgical Oncology healthcare provider located in MOUNTAIN BRK, Alabama. NPI 1811308257 is currently active in the NPPES registry. Verify at CMS.
Surgical Oncology · MOUNTAIN BRK, AL
Registration Details
- NPI Number
- 1811308257
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 19, 2014 (12.264918923322 yrs)
- Last Updated
- Oct 30, 2024
- Licenses
-
34727 (AL)34727 (AL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
500 OFFICE PARK DR STE 400MOUNTAIN BRK, AL, 352232457Browse AL providers · Browse ZIP 35223
- Phone
- 2058034384
- Fax
- 7579530845
- Primary Specialty
-
Surgical Oncology
2086X0206X
- Additional Specialty
- General Surgery
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.