Individual
JOHN S DOUGLAS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 778-5299
Mailing address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 778-5299
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
014045
GA
Other
Enumeration date
08/09/2006
Last updated
07/08/2007
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