Surgery Yellow Pages

General, Orthopedic, Thoracic, Vascular Surgery
Plastic, Cosmetic, Oral, Podiatric Surgery

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DR. DOUGLAS EDWARD GORMAN M.D.

Surgery Yellow Pages

Jackson, Mississippi

Provider NPI: 1699856419

Provider Information:
DR. DOUGLAS EDWARD GORMAN M.D.


Practice Location:
1920 CHADWICK DR SUITE 108 JACKSON, MS 39204 US
Tel: 601-373-3730  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N2082S0105XPhysicians
Plastic Surgery
Surgery of the Hand
MS08261
Y2086S0122XPhysicians
Surgery
MS08261

Other Provider Identifiers:

IssuerNumberStateType
00010048MS05
CORP TAX ID640650720MS01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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