Individual
DR. JOHN ALLEN DOUGLAS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3805 CHEROKEE ST NW, KENNESAW, GA 30144-2085
(770) 426-5666
(770) 420-1794
Mailing address
3805 CHEROKEE ST NW, KENNESAW, GA 30144-2085
(770) 426-5666
(770) 420-1794
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
72824
GA
207Q00000X
Family Medicine Physician
D74188
MD
Other
Enumeration date
06/24/2009
Last updated
07/31/2023
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