Douglas, Mazie

Douglas, Mazie is an sole proprietor health care provider with primary practice located at 1918 Panola Rd , Lithonia GA 30058-5520. She recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Adult Care Home, Agencies / Home Health. Agencies / Home Health is her primary health care specialty. Douglas, Mazie can be contacted via phone (404) 597-2203.

Contact Information

Primary practice address
1918 Panola Rd Lithonia GA 30058-5520
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X
Agencies / Home Health 251E00000X

Profile Details

NPI number 1124882428
LBN Legal business name Douglas, Mazie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2024
Last updated Feb 8th, 2024 - about 10 months 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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