Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JOHN WILLIAM DOUGLAS, MD
ActiveMR. JOHN WILLIAM DOUGLAS, MD is a Sports Medicine (IM) healthcare provider located in GULFPORT, Mississippi. NPI 1972530335 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (IM) · GULFPORT, MS
Registration Details
- NPI Number
- 1972530335
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 28, 2006 (20.104023411796 yrs)
- Last Updated
- Apr 10, 2023
- Licenses
-
08130 (MS)8130 (MS)8130 (MS)
Practice Information
- Address
-
15190 COMMUNITY RDSUITE 220GULFPORT, MS, 395033485Browse MS providers · Browse ZIP 39503
- Phone
- 2285393356
- Fax
- 2285393225
- Primary Specialty
-
Sports Medicine (IM)
207RS0012X
- Additional Specialty
- Pulmonary Disease
- Additional Specialty
- Sports Medicine (IM)
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.