Organization
DOUGLAS MEDICAL SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARCI LYNN DAVIS-VICKERS RN (PRACTICE MANAGER)
(912) 384-3338
Entity
Organization
Contact information
Practice address
805 N LIBERTY STREET, NICHOLLS, GA 31554-5438
(912) 345-9997
(912) 345-9976
Mailing address
805 N. LIBERTY ST, NICHOLLS, GA 31554-5438
(912) 345-9997
(912) 345-9976
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
048490
GA
Other
Enumeration date
12/08/2011
Last updated
12/08/2011
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