Margie Douglas
NPI #1154623585 in Springfield, Illinois
Provider Information
- NPI Number
- 1154623585
- Entity Type
- Individual
- Name
- Margie Douglas
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Adult Health
- Enumeration Date
- Nov 17, 2010
- Last Updated
- Mar 12, 2013
Practice Location
- Address
- 619 E MASON ST
- Address 2
- SUITE 4P57
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62701-1034
- Phone
- (217) 788-0706
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Adult Health — Adult Health |
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