Individual
DOUGLAS MARIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5354 REYNOLDS ST, SUITE 328, SAVANNAH, GA 31405-6007
(912) 692-1181
(912) 692-1184
Mailing address
5354 REYNOLDS ST, SUITE 328, SAVANNAH, GA 31405-6007
(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
04/27/2010
Last updated
04/27/2010
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