Belknap, Douglas L.

Belknap, Douglas L. is an individual health care provider with primary practice located at 1000 Johnson Ferry Road , Atlanta GA 30342. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. Belknap, Douglas L. can be contacted via phone (770) 645-9181.

Contact Information

Primary practice address
1000 Johnson Ferry Road Atlanta GA 30342
Phone: (770) 645-9181
Fax: (770) 645-8455
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 5131 Georgia

Profile Details

NPI number 1962698589
LBN Legal business name Belknap, Douglas L.
Credentials PAAA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2007
Last updated Apr 25th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962698589 NPPES
Georgia MEDICAID 675001474C
Georgia MEDICAID 675001474A
Georgia MEDICAID 675001474B

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