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Douglas Medical Group
Specialist in Douglasville, Georgia
NPI 1104886316

Douglas Medical Group is a Specialist based in Douglasville, GA. Douglas Medical Group practices in Douglasville, GA. The NPI Number for Douglas Medical Group is 1104886316 and holds a License No. 019103 (Georgia).

The current practice location address for Douglas Medical Group is 6025 Professional Pkwy, Douglasville, GA and can be reached out via phone at 770-949-0555 and via fax at 770-949-4424.

Location: 6025 Professional Pkwy, Douglasville, GA, 30134-5609
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104886316
Provider Name
Douglas Medical Group
Credential
Provider Entity Type
Organization
Address
6025 Professional Pkwy, Douglasville, GA, 30134-5609
Phone Number
770-949-0555
Fax Number
770-949-4424
Provider Enumeration Date
03/23/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00305302B 05 GA
institution
Provider Business Practice Location Address Details
Address
6025 Professional Pkwy
City
Douglasville
State
Georgia
Zip
30134-5609
Phone Number
770-949-0555
Fax Number
770-949-4424
person
Provider Business Mailing Address Details
Address
6025 Professional Pkwy
City
Douglasville
State
Georgia
Zip
30134-5609
Phone Number
770-949-0555
Fax Number
770-949-4424
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
019103 (Georgia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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