Individual
DR. JOHN DOUGLAS MCCORMICK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
210 E. DERENNE AVENUE, SAVANNAH, GA 31405
(912) 644-5300
(912) 644-5260
Mailing address
210 E DERENNE AVE, SAVANNAH, GA 31405
(912) 644-5300
(912) 644-5260
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
067503
GA
207X00000X
Orthopaedic Surgery Physician
TRN9940
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003124775C
—
GA
Enumeration date
12/12/2006
Last updated
10/25/2019
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