Doute, Damien Antoine
Doute, Damien Antoine is an individual health care provider with primary practice located at 1462 Montreal Rd Ste 218, Tucker GA 30084-6929. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Doute, Damien Antoine can be contacted via phone (470) 294-0863.Contact Information
Primary practice address
1462 Montreal Rd Ste 218
Tucker GA 30084-6929
Phone: (470) 294-0863
Fax: (470) 294-0889
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 53852 | Georgia |
| Other Service Providers / Specialist | 174400000X | 053852 | Georgia |
Profile Details
| NPI number | 1033106158 |
|---|---|
| LBN Legal business name | Doute, Damien Antoine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2005 |
| Last updated | Sep 2nd, 2016 - about 9 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 | 1033106158 | NPPES |
| Georgia | MEDICAID | 728513163A |
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