| NPI | 1013682996 | 
|---|---|
| Doing Business As | CITY OF DOUGLASVILLE | 
| Entity Type | Organization | 
| Authorized Contact | JON LEIZMAN President 216-479-9063  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty | 
| Enumeration Date | 2021-08-12 | 
| Last Update Date | 2022-08-24 |