ANALISE DOUGLAS

JACKSON, MS
NPI1396279451
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RI0011X Internal Medicine, Interventional Cardiology
(Licence: MS  33261)
Additional Taxonomies207R00000X Internal Medicine
(Licence: CT  70752)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2017-04-16
Last Update Date2024-05-29
Business Address
ANALISE DOUGLAS M.D.
970 LAKELAND DR STE 61
JACKSON, MS 39216-4634
Phone number: 601-982-7850
Mailing Address
ANALISE DOUGLAS M.D.
970 LAKELAND DR STE 61
JACKSON, MS 39216-4634
Phone number: 601-982-7850