Individual
DR. BARBARA G DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4605 TUTU PARK MALL, SUITE 207, ST THOMAS, VI 00802-1736
(340) 775-3700
(340) 777-7927
Mailing address
PO BOX 10700, ST THOMAS, VI 00801-3700
(340) 775-3700
(340) 777-7927
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1459
VI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024534300
—
DC
01
—
05993
AMERIGROUP
—
01
—
42010001
BLUE CROSS BLUE SHIELD
—
01
—
455314
AETNA
—
01
—
521422197001
CIGNA
—
01
—
86003
MAMSI
—
Enumeration date
05/19/2006
Last updated
08/13/2012
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