Douglass, Paul Lawrence
Douglass, Paul Lawrence is an individual health care provider with primary practice located at 4441 Atlanta Rd Se Ste 213 , Smyrna GA 30080-6442. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Douglass, Paul Lawrence can be contacted via phone (470) 956-9480.Contact Information
Primary practice address
4441 Atlanta Rd Se Ste 213
Smyrna GA 30080-6442
Phone: (470) 956-9480
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 019205 | Georgia |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 019205 | Georgia |
Profile Details
| NPI number | 1063406262 |
|---|---|
| LBN Legal business name | Douglass, Paul Lawrence |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 2nd, 2005 |
| Last updated | Oct 31st, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063406262 | NPPES |
| Georgia | Other | 060017368/CM0845 | RAILROAD MEDICARE |
| Georgia | MEDICAID | 00241788A | RAILROAD MEDICARE |
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