| NPI Details | |
|---|---|
| NPI | 1003808361 |
| Gender | Male |
| Enumeration Date | 08/22/2005 |
| Last Updated | 10/02/2015 |
| Entity Type | Individual |
| Active | Over 11 years ago |
| Practice Location | |
|---|---|
| 3850 PLEASANT HILL RD DULUTH GA, 30096-4807, US |
|
| Phone | (770) 814-8222 |
| Fax | (678) 205-5111 |
| Business Location | |
|---|---|
| 3850 PLEASANT HILL RD DULUTH GA, 30096-4807, US |
|
| Phone | (770) 814-8222 |
| Fax | (678) 205-5111 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 207ND0900X |
| License State | Georgia |
| License Number | 040052 |
| Remove 1003808361 NPI Number | |
According to our database, Charles Jacob Douchy M.D. NPI is 1003808361, taxonomy code is 207ND0900X and license number is 040052, license state is located at Georgia. Charles Jacob Douchy M.D. physically located at 3850 Pleasant Hill Rd, Duluth GA, 30096-4807. NPI Number Charles Jacob Douchy M.D. has the Individual type.
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1003808361 NPI number is provided on an as is basis without warranty of any kind. 1003808361 is maintained by the National Plan & Provider Enumeration System. The contents of Charles Jacob Douchy M.D. are for informational purposes only.
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