Gresham, Douglas Granville
Gresham, Douglas Granville is an sole proprietor health care provider with primary practice located at 340 Eisenhower Dr 1600, Savannah GA 31406-1600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Gresham, Douglas Granville can be contacted via phone (912) 355-6029.Contact Information
Primary practice address
340 Eisenhower Dr 1600
Savannah GA 31406-1600
Phone: (912) 355-6029
Fax: (912) 352-3071
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 026286 | Georgia |
Profile Details
| NPI number | 1629155676 |
|---|---|
| LBN Legal business name | Gresham, Douglas Granville |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Mar 2nd, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629155676 | NPPES |
| Georgia | MEDICAID | 000286591C |
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