Individual
DR. SAMUEL LESSLEY ARDIS DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 OFFICE PARK DR STE 400, MOUNTAIN BRK, AL 35223-2457
(205) 803-4384
(757) 953-0845
Mailing address
500 OFFICE PARK DR STE 400, MOUNTAIN BRK, AL 35223-2457
(205) 803-4384
(757) 953-0845
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
34727
AL
2086X0206X
Surgical Oncology Physician
Primary
34727
AL
Other
Enumeration date
05/19/2014
Last updated
10/30/2024
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