Individual
OLIVIA DOUTHITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
300 W OAK ST, CARBONDALE, IL 62901-1400
(618) 536-6621
Mailing address
300 W OAK ST, CARBONDALE, IL 62901-1400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
KY
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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