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General NPI Number Information
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NPI Number | 1649247974
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Entity Type | Organization
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Legal Business Name | DOUGLAS HOSPITAL, INC.
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Dates
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Enumeration Date | 03/07/2006
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 8954 HOSPITAL DR
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City | DOUGLASVILLE
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State | GA
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Zip | 30134-2272
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Country | US
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Telephone | 770-949-1500
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Fax | 770-792-1784
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Provider Business Mailing Address
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Address Line | 793 SAWYER RD
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City | MARIETTA
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State | GA
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Zip | 30062-2222
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Country | US
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Telephone | 470-644-0012
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Fax |
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Authorized Official
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Title or Position | EVP AND CHIEF FINANCIAL OFFICER
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Name | ANTHONY J BUDZINSKI
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Credential |
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Telephone | 470-644-0012
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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