Individual
GARRETT DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1240 BROAD AVE STE B, GULFPORT, MS 39501-2416
(601) 456-5100
Mailing address
37 GOOD HOPE RD, COLUMBIA, MS 39429-8914
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
882599
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007953363
—
MS
Enumeration date
06/02/2015
Last updated
07/29/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us