Charles Jacob Douchy in Duluth - Procedural Dermatology
Charles Jacob Douchy - NPI 1003808361
Charles Jacob Douchy is a Procedural Dermatology in Duluth, Georgia. Charles Jacob Douchy practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for Charles Jacob Douchy is 1003808361. The last update date is 2015-10-02.
Charles Jacob Douchy's current location address is 3850 Pleasant Hill Rd, Duluth, Georgia. You can contact this provider via phone number 7708148222 and fax number 6782055111. The mailing address for Charles Jacob Douchy is 3850 Pleasant Hill Rd, Duluth, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Jacob Douchy |
|---|---|
| Address | 3850 Pleasant Hill Rd, Duluth, Georgia |
| Phone Number | 7708148222 |
| Fax Number | 6782055111 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1003808361 |
|---|---|
| Provider Enumeration Date | 2005-08-22 |
| Last Updated Date | 2015-10-02 |
Provider Mailing Address Detail
| Address | 3850 Pleasant Hill Rd |
|---|---|
| City | Duluth |
| State | Georgia (GA) |
| Post Code | 300964807 |
| Phone Number | 7708148222 |
| Fax Number | 6782055111 |
Provider's Primary Taxonomy Detail
| Speciality | Procedural Dermatology |
|---|---|
| Taxonomy | 207Ns0135X |
| Licence No | 40052 |
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Definition: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00663396B | GA | -- | |
| 2498075 | GA | AETNA | |
| 912915 | GA | BCBS | |
| 000663396E | GA | -- | |
| 70014632 | GA | RR MEDICARE | |
| 000663396F | GA | -- |
Post Comment/ Review Below
What is the Charles Jacob Douchy's 1003808361?
The Charles Jacob Douchy's NPI (National Provider Identifier) Number is 1003808361. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Charles Jacob Douchy?
The Charles Jacob Douchy is physically situated at 3850 Pleasant Hill Rd, in the city of Duluth, state of GA, with the postal code 300964807.
What is the Charles Jacob Douchy's specialty and taxonomy code?
The Charles Jacob Douchy's specialty is Procedural Dermatology, and the corresponding taxonomy code is 207Ns0135X.
When did Charles Jacob Douchy receive its 1003808361 assignment?
The Charles Jacob Douchy was assigned its 1003808361 on 2005-08-22, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Charles Jacob Douchy most recently updated or revised?
The information pertaining to Charles Jacob Douchy, including its address, specialty, and other relevant details, was last updated or revised on 2015-10-02.
NPI Number: 1184622524
Address: 1230 S Cedar Crest Blvd Ste 306, Allentown, PA