Individual
DR. SHARON PATRICIA DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1500 E WOODROW WILSON AVE, 14A, JACKSON, MS 39216-5116
(601) 364-1463
(601) 364-1429
Mailing address
129 CYPRESS LAKE BLVD S, MADISON, MS 39110-7316
(601) 853-4444
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
11352
MS
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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