Organization
DOUGLAS HOSPITAL, INC.
Active
Other names
Wellstar Douglas Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY J BUDZINSKI (EVP AND CHIEF FINANCIAL OFFICER)
(470) 644-0012
Entity
Organization
Contact information
Practice address
8954 HOSPITAL DR, DOUGLASVILLE, GA 30134-2272
(770) 949-1500
(770) 792-1784
Mailing address
793 SAWYER RD, MARIETTA, GA 30062-2222
(470) 644-0012
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000624A
—
GA
01
—
100084
BLUE CROSS
GA
Enumeration date
03/07/2006
Last updated
10/31/2024
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