Gresham, Douglas Granville

Gresham, Douglas Granville is an sole proprietor health care provider with primary practice located at 340 Eisenhower Dr 1600, Savannah GA 31406-1600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Gresham, Douglas Granville can be contacted via phone (912) 355-6029.

Contact Information

Primary practice address
340 Eisenhower Dr 1600 Savannah GA 31406-1600
Phone: (912) 355-6029
Fax: (912) 352-3071
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 026286 Georgia

Profile Details

NPI number 1629155676
LBN Legal business name Gresham, Douglas Granville
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2006
Last updated Mar 2nd, 2010 - about 14 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 1629155676 NPPES
Georgia MEDICAID 000286591C

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