Search › Georgia › 163WC0400X
Allena Douglas
NPI 1023409554 · on the registry since 2015 · sole proprietor
Practice
- Address
- 1061 Harmon Ave
Fort Stewart, GA 31314 - Phone
- (912) 435-5564
- Organisation at this address
- U.S. Army
Federal Government
Ach Winn-Ft Stewart
Winn Army Community
Ach Winn-Ft StewartInferred from a shared address, not stated in the registry. - Clinicians at this address
- 1,116
Registry record
- Primary taxonomy
- 163WC0400X
163WC0400X
- Also registered as
- 163W00000X
163WA0400X
163WA2000X
163WC1500X
163WC1600X
163WE0003X
163WG0000X
163WG0600X
163WH0200X
163WH1000X
163WM0102X
163WP0807X
163WP0809X
163WP2201X - Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-02-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia