Individual
DOUGLAS L. BELKNAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAAA
Contact information
Practice address
1000 JOHNSON FERRY ROAD, ATLANTA, GA 30342
(770) 645-9181
(770) 645-8455
Mailing address
3155 N POINT PKWY, ATTN: CREDENTIALING DEPT., BUILDING F, SUITE 100, ALPHARETTA, GA 30005
(770) 645-9181
(770) 645-8455
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
5131
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
675001474A
—
GA
05
—
675001474B
—
GA
05
—
675001474C
—
GA
Enumeration date
09/18/2007
Last updated
04/25/2008
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