Deirdre Dolan Douglass in Conyers - Pediatrics
Deirdre Dolan Douglass - NPI 1598825747
Deirdre Dolan Douglass is a Pediatrics in Conyers, Georgia. Deirdre Dolan Douglass practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Deirdre Dolan Douglass is 1598825747. The last update date is 2012-09-17.
Deirdre Dolan Douglass's current location address is 586 Clubland Cir Se, Conyers, Georgia. You can contact this provider via phone number 7707857908 and fax number 7707857908. The mailing address for Deirdre Dolan Douglass is 586 Clubland Cir Se, Conyers, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Deirdre Dolan Douglass |
|---|---|
| Address | 586 Clubland Cir Se, Conyers, Georgia |
| Phone Number | 7707857908 |
| Fax Number | 7707857908 |
| Sole Proprietor | Y |
| Credentials | P.T. |
NPI Number Detail
| NPI Number | 1598825747 |
|---|---|
| Provider Enumeration Date | 2006-12-11 |
| Last Updated Date | 2012-09-17 |
Provider Mailing Address Detail
| Address | 586 Clubland Cir Se |
|---|---|
| City | Conyers |
| State | Georgia (GA) |
| Post Code | 300943626 |
| Phone Number | 7707857908 |
| Fax Number | 7707857908 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | PT003272 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 322094 | GA | -- | |
| 000711763B | GA | -- | |
| 10057878 | GA | -- |
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What is the unique 10-digit identification code assigned to Deirdre Dolan Douglass by the Centers for Medicare & Medicaid Services?
The Deirdre Dolan Douglass has been issued the NPI (National Provider Identifier) 1598825747, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Deirdre Dolan Douglass located?
The Deirdre Dolan Douglass is located at 586 Clubland Cir Se, Conyers, GA 300943626.
What is the Deirdre Dolan Douglass's area of specialization and corresponding taxonomy classification?
The Deirdre Dolan Douglass's specialty field is Pediatrics, and it falls under the taxonomy code 2251P0200X, which categorizes healthcare providers based on their specialties.
On what date was the 1598825747 assigned to Deirdre Dolan Douglass?
The Deirdre Dolan Douglass was issued its 1598825747 on 2006-12-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Deirdre Dolan Douglass most recently updated?
The details pertaining to the Deirdre Dolan Douglass, including its address, specialty, and other relevant information, were last refreshed on 2012-09-17.