Individual
MAX R. DOUGAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3000 GETWELL RD, DELTA MEDICAL CENTER, MEMPHIS, TN 38118-2205
(901) 369-8560
Mailing address
154 PERKINS EXTD, MEMPHIS, TN 38117
(901) 767-4353
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
E3994
AR
2085R0202X
Diagnostic Radiology Physician
Primary
MD013506
TN
208D00000X
General Practice Physician
MD013506
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3006364
—
TN
Enumeration date
02/09/2007
Last updated
05/18/2015
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