Organization
DOUGLAS MEDICAL SPECIALIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARSHALL G TANNER M.D. (DIRECTOR)
(912) 384-3338
Entity
Organization
Contact information
Practice address
134 E FLEETWOOD AVE, WILLACOOCHEE, GA 31650
(912) 384-3338
(912) 383-6365
Mailing address
134 E FLEETWOOD AVE, WILLACOOCHEE, GA 31650
(912) 384-3338
(912) 383-6365
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
056658
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225021678
NPI
GA
01
—
1326031865
NPI
GA
01
—
1750374294
NPI
GA
01
—
1891815924
NPI
GA
Enumeration date
09/25/2007
Last updated
10/30/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us