Organization
DOUGLAS MARIRA, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS MARIRA M.D. (CEO)
(912) 692-1181
Entity
Organization
Contact information
Practice address
5354 REYNOLDS ST, SUITE 328, SAVANNAH, GA 31405-6007
(912) 692-1181
(912) 692-1184
Mailing address
PO BOX 24359, SAVANNAH, GA 31403-4359
(912) 692-1181
(912) 692-1184
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
029284
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000398549G
—
GA
Enumeration date
01/24/2007
Last updated
04/21/2010
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