Wade G. Douglas, MD

Surgery Physician · Tallahassee, FL

Individual Active NPI

NPI number 1689634388

Practice location

1401 Centerville Road
Suite 100
Tallahassee, FL 32308-3656
Phone
(850) 877-5183
Fax
(850) 656-1288

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NPI record

NPI
1689634388
Entity type
Individual (Type 1)
Enumeration date
March 25, 2006
Last updated
August 19, 2014
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgery Physician Primary 208600000X ME120744 FL
Surgery Physician 208600000X 21963 WV
Surgical Oncology Physician 2086X0206X 21963 WV

About Dr. Douglas

Wade G. Douglas, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Surgery Physician (code 208600000X). The practice location is 1401 Centerville Road, Suite 100, Tallahassee, FL 32308-3656. The NPI number 1689634388 was assigned on March 25, 2006 and the record was last updated on August 19, 2014.

Dr. Douglas lists 3 licenses in the registry: #ME120744 (FL) for Surgery Physician; #21963 (WV) for Surgery Physician; #21963 (WV) for Surgical Oncology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Wade G. Douglas, MD?

The NPI number is 1689634388.

What is the phone number of Dr. Douglas?

The phone number listed for the practice location is (850) 877-5183.

Where is Dr. Douglas located?

1401 Centerville Road, Suite 100, Tallahassee, FL 32308-3656.

What is the taxonomy code for Dr. Douglas?

The primary taxonomy code is 208600000X – Surgery Physician; 2 more listed above.

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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