| Dr Douglas Edward Gorman Jr, MD | |
|
1920 Chadwick Dr, Suite 108, Jackson, MS 39204-3471 | |
| (601) 373-3730 | |
| (601) 372-7431 |
| Full Name | Dr Douglas Edward Gorman Jr |
|---|---|
| Gender | Male |
| Speciality | Surgery - Plastic And Reconstructive Surgery |
| Location | 1920 Chadwick Dr, Jackson, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699856419 | NPI | - | NPPES |
| 640650720 | Other | MS | CORP TAX ID |
| 00010048 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2082S0105X | Plastic Surgery - Surgery Of The Hand | 08261 (Mississippi) | Secondary |
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | 08261 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Douglas Edward Gorman Jr, MD 1920 Chadwick Dr, Suite 108, Jackson, MS 39204-3471 Ph: (601) 373-3730 | Dr Douglas Edward Gorman Jr, MD 1920 Chadwick Dr, Suite 108, Jackson, MS 39204-3471 Ph: (601) 373-3730 |
Dr. Wayne Shannon Orr Iii, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5452 Fax: 601-815-3322 | |
Ian Michael Brastauskas, Surgery Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 | |
Jacob M Folse, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5153 Fax: 601-984-6962 | |
Robert Eugene Schmieg Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 Fax: 601-926-4978 | |
Dr. Hal Gregory Fiser, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1190 N State St, Suite 502, Jackson, MS 39202 Phone: 601-944-1781 Fax: 601-353-0439 | |
Dr. John Magruder Sullivan Iii, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 | |
Dr. James Randal Bridges, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 |