Individual
DR. DOUGLAS A STAHURA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
755 MEDICAL PARK DR, AIKEN, SC 29801-6306
(803) 648-0718
(803) 641-9143
Mailing address
755 MEDICAL PARK DR, AIKEN, SC 29801-6306
(803) 648-0718
(803) 641-9143
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
721
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007218
—
SC
01
—
7522575
AETNA PROVIDER NUMBER
SC
Enumeration date
04/14/2006
Last updated
07/09/2007
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