Individual
DR. DOUGLAS WESLEY PAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6262 VETERANS PKWY, COLUMBUS, GA 31909-3540
(706) 494-3192
(706) 494-3247
Mailing address
PO BOX 370, FORTSON, GA 31808-0370
(706) 494-3008
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
049468
GA
207X00000X
Orthopaedic Surgery Physician
MD.28824
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
361784635A
—
GA
05
—
361784635B
—
GA
05
—
361784635C
—
GA
05
—
361784635D
—
GA
05
—
361784635E
—
GA
05
—
361784635F
—
GA
05
—
361784635G
—
GA
05
—
361784635H
—
GA
Enumeration date
04/28/2006
Last updated
11/20/2020
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