Daniel R. Douglas, P.A.

Physician Assistant · Lawrenceville, GA

Individual Active NPI

NPI number 1457508806

Practice location

758 Old Norcross Rd
Suite 100
Lawrenceville, GA 30046-3385
Phone
(770) 962-4300
Fax
(770) 339-7544

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NPI record

NPI
1457508806
Entity type
Individual (Type 1)
Enumeration date
August 27, 2008
Last updated
October 5, 2010
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 005875 GA

About Daniel Douglas

Daniel R. Douglas, P.A. is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 758 Old Norcross Rd, Suite 100, Lawrenceville, GA 30046-3385. The NPI number 1457508806 was assigned on August 27, 2008 and the record was last updated on October 5, 2010.

Daniel Douglas lists a license in the registry: #005875 (GA) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Daniel R. Douglas, P.A.?

The NPI number is 1457508806.

What is the phone number of Daniel Douglas?

The phone number listed for the practice location is (770) 962-4300.

Where is Daniel Douglas located?

758 Old Norcross Rd, Suite 100, Lawrenceville, GA 30046-3385.

What is the taxonomy code for Daniel Douglas?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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