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Samuel Douglas, M.D

NPI 1811308257 · on the registry since 2014 · sole proprietor

Practice

Address
500 Office Park Dr Ste 400
Mountain Brk, AL 35223
Phone
(205) 803-4384
Fax
(757) 953-0845
Organisation at this address
Urostat Healthcare, Inc.
Persimmon Therapy And Wellness, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
2086X0206X
2086X0206X
Also registered as
208600000X
Licence states on file
AL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-10-30

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 Alabama