Individual
DOUGLAS K EPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1050 EAGLES LANDING PKWY, SUITE 302, STOCKBRIDGE, GA 30281-9018
(770) 389-9494
(770) 357-2511
Mailing address
1050 EAGLES LANDING PKWY, SUITE 302, STOCKBRIDGE, GA 30281-9018
(770) 389-9494
(770) 357-2511
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
48349
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10033141
AMERIGROUP
GA
01
—
1518957372
BC/BS GEORGIA
GA
05
—
185263247A
—
GA
01
—
314126
WELLCARE
GA
01
—
P00172081
RAILROAD MEDICARE
GA
Enumeration date
10/24/2005
Last updated
09/17/2012
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