Faison, Douglas Lee

Faison, Douglas Lee is an individual health care provider with primary practice located at 35000 Guadalcanal Ave Branch Medical Clinic, Mcrd Bld 596, San Diego CA 92140-5599. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Faison, Douglas Lee can be contacted via phone (619) 524-0789.

Contact Information

Primary practice address
35000 Guadalcanal Ave Branch Medical Clinic, Mcrd Bld 596 San Diego CA 92140-5599
Phone: (619) 524-0789
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1032153 Georgia

Profile Details

NPI number 1396717492
LBN Legal business name Faison, Douglas Lee
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Jul 8th, 2007 - about 18 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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