Search › Georgia › 251E00000X
Mazie Douglas
NPI 1124882428 · on the registry since 2024 · sole proprietor
Practice
- Address
- 1918 Panola Rd
Lithonia, GA 30058 - Phone
- (404) 597-2203
- Organisation at this address
- Rejuvenate N Eden, Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 251E00000X
251E00000X
- Also registered as
- 311ZA0620X
- Sex
- Female
- Record last updated
- 2024-02-08
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