Sumner B Douglas, NP
NPI #1548821333 in Madison, Mississippi
Provider Information
- NPI Number
- 1548821333
- Entity Type
- Individual
- Name
- Sumner B Douglas, NP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- NP
- Enumeration Date
- Jun 24, 2019
- Last Updated
- Sep 25, 2020
Practice Location
- Address
- 401 BAPTIST DR STE 1040
- City
- Madison
- State
- Mississippi
- ZIP Code
- 39110-2009
- Phone
- (601) 605-2383
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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