FREDERICK G DOUGLAS

EASLEY, SC
NPI1922040955
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: SC  5691)
Enumeration Date2006-06-12
Last Update Date2010-02-10
Business Address
-- FREDERICK G DOUGLAS MD
106 JOHN STREET
EASLEY, SC 29640-1415
Phone number: 864-859-2220
Mailing Address
-- FREDERICK G DOUGLAS MD
PO BOX 2089
EASLEY, SC 29641-2089
Phone number: 864-855-5104