SAMUEL DOUGLASS

FORT GORDON, GA
NPI1063801678
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: NE  1539)
Enumeration Date2015-01-20
Last Update Date2021-07-08
Business Address
SAMUEL DOUGLASS DO
300 W HOSPITAL RD
FORT GORDON, GA 30905-5741
Phone number: 706-787-2175
Mailing Address
SAMUEL DOUGLASS DO
9040 FITZSIMMONS DR
JOINT BASE LEWIS MCCHORD, WA 98431-1000
Phone number: 253-968-0369
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