Douglas Medical Group

NPI #1992929186 in Douglasville, Georgia

Provider Information

NPI Number: 1992929186
Entity Type: Organization
Organization Name: Douglas Medical Group
Primary Specialty: Internal Medicine
Enumeration Date: Apr 12, 2007
Last Updated: Jul 8, 2010

Practice Location

Address: 6025 PROFESSIONAL PKWY
Address 2: SUITE 200
City: Douglasville
State: Georgia
ZIP Code: 30134-5609
Phone: (770) 949-0555

Authorized Official

Name: DR. GIRISH I SHROFF, MD
Title: PRESIDENT
Phone: (770) 949-0555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary
Nurse Practitioner	363L00000X
Nurse Practitioner - Family — Family	363LF0000X

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