Organization
DOUGLAS ORTHODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDY MCGOWIN (OFFICE MANAGER)
(601) 778-0367
Entity
Organization
Contact information
Practice address
2400 16TH ST, MERIDIAN, MS 39301-3955
(601) 483-4522
Mailing address
2400 16TH ST, MERIDIAN, MS 39301-3955
(601) 483-4522
(601) 340-3162
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
01/12/2021
Last updated
07/27/2022
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