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Garrett Douglas
Family Nurse Practitioner in Gulfport, Mississippi
NPI 1477933745

Garrett Douglas is a Family Nurse Practitioner based in Columbia, MS and is specialized in Family. Garrett Douglas practices in Gulfport, MS. The NPI Number for Garrett Douglas is 1477933745 and holds a License No. 882599 (Mississippi).

The current practice location address for Garrett Douglas is 1240 Broad Ave Ste B, Gulfport, MS and can be reached out via phone at 601-456-5100.

Location: 1240 Broad Ave Ste B, Gulfport, MS, 39429-8914
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Provider Profile Details
NPI Number
1477933745
Provider Name
Garrett Douglas
Credential
Provider Entity Type
Individual
Gender
Male
Address
1240 Broad Ave Ste B, Gulfport, MS, 39429-8914
Phone Number
601-456-5100
Fax Number
Provider Enumeration Date
06/02/2015
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
007953363 05 MS
institution
Provider Business Practice Location Address Details
Address
1240 Broad Ave Ste B
City
State
Zip
39501-2416
Phone Number
601-456-5100
Fax Number
person
Provider Business Mailing Address Details
Address
1240 Broad Ave Ste B
City
State
Zip
39501-2416
Phone Number
601-456-5100
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
882599 (Mississippi)
Definition
Definition to come...
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