person
Laurie Evans Douglas, MD
Hematology & Oncology Physician in Hattiesburg, Mississippi
NPI 1013173590

Laurie Evans Douglas is a Hematology & Oncology Physician based in Hattiesburg, MS and is specialized in Hematology & Oncology. Laurie Evans Douglas practices in Hattiesburg, MS and has the professional credentials of MD. The NPI Number for Laurie Evans Douglas is 1013173590 and holds a License No. 23948 (Mississippi).

The current practice location address for Laurie Evans Douglas is 301 S 28Th Ave, Hattiesburg, MS and can be reached out via phone at 601-261-1700 and via fax at 601-288-8290. You can also correspond with Laurie Evans Douglas through the mailing address at 415 S 28TH AVE, HATTIESBURG, MS - 39401-7246 (mailing address contact number: 601-261-1700).

Location: 301 S 28Th Ave, Hattiesburg, MS, 39401-7246
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Provider Profile Details
NPI Number
1013173590
Provider Name
Laurie Evans Douglas
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
301 S 28Th Ave, Hattiesburg, MS, 39401-7246
Phone Number
601-261-1700
Fax Number
601-288-8290
Provider Enumeration Date
08/04/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00324314 05 MS
10131735900 01 NC TRICARE
10131735900 05 NC
187RG 01 NC BCBS
10131735900 01 NC UHC
Q94015 01 NC SC MEDICAID
institution
Provider Business Practice Location Address Details
Address
301 S 28Th Ave
City
State
Zip
39401-7233
Phone Number
601-261-1700
Fax Number
601-288-8290
person
Provider Business Mailing Address Details
Address
301 S 28Th Ave
City
State
Zip
39401-7233
Phone Number
601-261-1700
Fax Number
601-288-8290
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
License No.
23948 (Mississippi)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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