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Individual

DOUGLAS O. BAXLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
247 S MAIN ST, REIDSVILLE, GA 30453-4605
(912) 557-1000
Mailing address
285 RHETT CIR, JACKSON, AL 36545-8703
(251) 246-9594

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-056701
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000052741
AL
Enumeration date
05/08/2006
Last updated
10/17/2025
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