Douglass, Samuel
Douglass, Samuel is an individual health care provider with primary practice located at 300 W Hospital Rd , Fort Gordon GA 30905-5741. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Douglass, Samuel can be contacted via phone (706) 787-2175.Contact Information
Primary practice address
300 W Hospital Rd
Fort Gordon GA 30905-5741
Phone: (706) 787-2175
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 1539 | Nebraska |
Profile Details
| NPI number | 1063801678 |
|---|---|
| LBN Legal business name | Douglass, Samuel |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 20th, 2015 |
| Last updated | Jul 8th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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