Douglas Edward Gorman in Jackson - Surgery Of The Hand

Douglas Edward Gorman - NPI 1699856419

Douglas Edward Gorman is a Surgery Of The Hand in Jackson, Mississippi. Douglas Edward Gorman practices all healthcare services and medical treatments related to Surgery Of The Hand. The NPI Number for Douglas Edward Gorman is 1699856419. The last update date is 2010-07-06.

Douglas Edward Gorman's current location address is 1920 Chadwick Dr, Jackson, Mississippi. You can contact this provider via phone number 6013733730 and fax number 6013727431. The mailing address for Douglas Edward Gorman is 1920 Chadwick Dr, Jackson, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Douglas Edward Gorman
Address 1920 Chadwick Dr, Jackson, Mississippi
Phone Number 6013733730
Fax Number 6013727431
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1699856419
Provider Enumeration Date 2006-10-18
Last Updated Date 2010-07-06

Provider Mailing Address Detail

Address 1920 Chadwick Dr
City Jackson
State Mississippi (MS)
Post Code 392043471
Phone Number 6013733730
Fax Number 6013727431

Provider's Primary Taxonomy Detail

Speciality Surgery Of The Hand
Taxonomy 2082S0105X
Licence No 8261
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
640650720 MS CORP TAX ID
10048 MS --

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FAQs about Douglas Edward Gorman

What is the unique 10-digit identification code issued to Douglas Edward Gorman by the Centers for Medicare & Medicaid Services?

The Douglas Edward Gorman has been assigned the NPI (National Provider Identifier) 1699856419 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Douglas Edward Gorman's facilities are situated?

The facilities of Douglas Edward Gorman are physically located at the following address: 1920 Chadwick Dr, Jackson, MS, 392043471.

What is the area of specialization for Douglas Edward Gorman, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Douglas Edward Gorman is Surgery Of The Hand, and the corresponding taxonomy code that categorizes this area of expertise is 2082S0105X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1699856419 to Douglas Edward Gorman?

The Centers for Medicare & Medicaid Services originally issued the 1699856419 to Douglas Edward Gorman on 2006-10-18.

As of what date was the information pertaining to Douglas Edward Gorman, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Douglas Edward Gorman, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-07-06.

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