Individual
FORREST J DOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
761 N CHEROKEE RD, STE B, SOCIAL CIRCLE, GA 30025-4019
(678) 535-3030
(770) 464-9051
Mailing address
761 N CHEROKEE RD, STE B, SOCIAL CIRCLE, GA 30025-4019
(678) 535-3030
(770) 464-9051
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
024931
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000265944E
—
GA
Enumeration date
05/05/2006
Last updated
06/03/2008
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