# DOUGLAS MEDICAL & SURGICAL GROUP, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710205927
- **Authorized official:** DR. WILLIAM CHARLES MILLER JR. M.D. (C.E.O.)
- **Authorized official phone:** (912) 384-7300

## Contact information

- **Practice address:** 203 SHIRLEY AVE, DOUGLAS, GA 31533-2327
- **Practice address phone:** (912) 384-7300
- **Practice address fax:** (912) 384-5941
- **Mailing address:** 203 SHIRLEY AVE, DOUGLAS, GA 31533-2327
- **Mailing address phone:** (912) 384-7300
- **Mailing address fax:** (912) 384-5941

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | 024302 | GA | — |
| 208D00000X | General Practice Physician | 024302 | GA | Yes |

## Other

- **Enumeration date:** 05/12/2010
- **Last updated:** 04/24/2020