| Douglas Medical Group | |
|
6025 Professional Pkwy Suite 200 Douglasville GA 30134-5609 | |
| (770) 949-0555 | |
| (770) 949-4424 |
| Full Name | Douglas Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 6025 Professional Pkwy, Douglasville, Georgia |
| Authorized Official Name and Position | Girish I Shroff (PRESIDENT) |
| Authorized Official Contact | 7709490555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas Medical Group 6025 Professional Pkwy Suite 200 Douglasville GA 30134-5609 Ph: (770) 949-0555 | Douglas Medical Group 6025 Professional Pkwy Suite 200 Douglasville GA 30134-5609 Ph: (770) 949-0555 |
| NPI Number | 1992929186 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 07/08/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992929186 | NPI | - | NPPES |
| 00305302B | Medicaid | GA | |
| 452595412D | Medicaid | GA | |
| 000137827B | Medicaid | GA | |
| 002528159A | Medicaid | GA |
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