Cardillo, Douglas M

Cardillo, Douglas M is an individual health care provider with primary practice located at 450 Northside Cherokee Blvd , Canton GA 30115-8015. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Cardillo, Douglas M can be contacted via phone (770) 224-1000.

Contact Information

Primary practice address
450 Northside Cherokee Blvd Canton GA 30115-8015
Phone: (770) 224-1000
Fax: (770) 224-2451
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 053432 Georgia
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 053432 Georgia

Profile Details

NPI number 1518941608
LBN Legal business name Cardillo, Douglas M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Mar 5th, 2018 - about 6 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 1518941608 NPPES
South Carolina MEDICAID G53432
South Carolina MEDICAID 354312478D
South Carolina MEDICAID 354312478E

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