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Dr. Douglas Edward Gorman JR., MD
Plastic and Reconstructive Surgery Physician in Jackson, Mississippi
NPI 1699856419

Douglas Edward Gorman JR. is a Plastic and Reconstructive Surgery Physician based in Jackson, MS and is specialized in Plastic and Reconstructive Surgery. Douglas Edward Gorman JR. practices in Jackson, MS and has the professional credentials of MD. The NPI Number for Douglas Edward Gorman JR. is 1699856419 and holds a License No. 08261 (Mississippi).

The current practice location address for Douglas Edward Gorman JR. is 1920 Chadwick Dr, Jackson, MS and can be reached out via phone at 601-373-3730 and via fax at 601-372-7431.

Location: 1920 Chadwick Dr, Jackson, MS, 39204-3471
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699856419
Provider Name
Douglas Edward Gorman JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1920 Chadwick Dr, Jackson, MS, 39204-3471
Phone Number
601-373-3730
Fax Number
601-372-7431
Provider Enumeration Date
10/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
640650720 01 MS CORP TAX ID
00010048 05 MS
institution
Provider Business Practice Location Address Details
Address
1920 Chadwick Dr
City
Jackson
State
Mississippi
Zip
39204-3471
Phone Number
601-373-3730
Fax Number
601-372-7431
person
Provider Business Mailing Address Details
Address
1920 Chadwick Dr
City
Jackson
State
Mississippi
Zip
39204-3471
Phone Number
601-373-3730
Fax Number
601-372-7431
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Plastic Surgery
Speciality
Surgery of the Hand
Taxonomy
2082S0105X
License No.
08261 (Mississippi)
Definition
A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
2086S0122X
License No.
08261 (Mississippi)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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