Individual
DR. DOUGLAS ARLAN OLSON II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 JOHNSON FERRY ROAD NE, ATLANTA, GA 30342
(404) 851-6936
Mailing address
6280 LAKEAIRES DR, CUMMING, GA 30040-4292
(770) 886-3219
(770) 886-3219
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
051073
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000948186C
—
GA
05
—
000948186D
—
GA
05
—
000948186E
—
GA
01
—
10040783
AMERIGROUP
GA
01
—
196701
BCBS
GA
01
—
198022
BCBS
GA
01
—
334611
WELLCARE
GA
05
—
G51073
—
SC
Enumeration date
06/09/2005
Last updated
01/13/2009
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