Individual
PHILLIP EDWIN DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1800 10TH AVE, COLUMBUS, GA 31901-1513
(706) 571-1120
Mailing address
1800 10TH AVE, COLUMBUS, GA 31901-1513
(706) 571-1120
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
002478
GA
Other
Enumeration date
07/20/2007
Last updated
07/20/2007
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