Individual
MR. DOUGLAS C DIRUGGIERO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
9 MEDICAL DR NE, CARTERSVILLE, GA 30121-8003
(470) 227-1600
(470) 227-1606
Mailing address
136 BATTLEFIELD CROSSING CT, RINGGOLD, GA 30736-5176
(706) 277-7311
(706) 529-7210
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003061
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
534385262C
—
GA
05
—
534385262L
—
GA
Enumeration date
04/24/2006
Last updated
11/27/2023
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