Individual
DR. DOUGLAS ROSS MACLEOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
802 22ND ST, COLUMBUS, GA 31904-8823
(706) 576-5773
Mailing address
802 22ND ST, COLUMBUS, GA 31904-8823
(706) 576-5773
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
022439
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000345386F
—
GA
Enumeration date
09/16/2005
Last updated
06/05/2013
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