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Individual
THOMAS H DOUGLAS
Active
Individual
THOMAS H DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
0101045853
VA
208800000X
Urology Physician
Primary
21281
SC
208800000X
Urology Physician
99-00476
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007034011
AETNA
SC
01
—
136HX
BCBS OF NC
NC
01
—
1905793
UNITED HEALTHCARE
SC
05
—
212816
—
SC
01
—
279873
MAMSI
SC
01
—
867215
GREAT WEST
SC
05
—
8912374
—
NC
01
—
90023
MEDCOST
SC
Enumeration date
11/17/2006
Last updated
05/26/2021
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