Michella Glenna Douglas, PA-C
NPI #1053949586 in Germantown, Tennessee
Provider Information
- NPI Number
- 1053949586
- Entity Type
- Individual
- Name
- Michella Glenna Douglas, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Mar 30, 2020
- Last Updated
- May 4, 2023
Practice Location
- Address
- 1400 S GERMANTOWN RD
- City
- Germantown
- State
- Tennessee
- ZIP Code
- 38138-2205
- Phone
- (901) 759-3100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Surgical — Surgical |
| Physician Assistant |
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