Individual
DR. SHAISTA HUSSAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1101 OCILLA RD, DOUGLAS, GA 31533-2207
(912) 383-7826
(912) 383-7299
Mailing address
PO BOX 2546, DOUGLAS, GA 31534-2546
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MT 202411
PA
Other
Enumeration date
06/15/2012
Last updated
04/18/2018
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