| Susan Douglas Md Llc | |
|
5115 Maryland Way Suite 119 Brentwood TN 37027-1200 | |
| (615) 377-0722 | |
| (615) 377-0724 |
| Full Name | Susan Douglas Md Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 5115 Maryland Way, Brentwood, Tennessee |
| Authorized Official Name and Position | Susan S Douglas (OWNER MEMBER) |
| Authorized Official Contact | 6153770722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Douglas Md Llc 709 Wayside Ct Franklin TN 37069-8105 Ph: (615) 418-3913 | Susan Douglas Md Llc 5115 Maryland Way Suite 119 Brentwood TN 37027-1200 Ph: (615) 377-0722 |
| NPI Number | 1770626319 |
|---|---|
| Provider Enumeration Date | 02/14/2007 |
| Last Update Date | 02/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770626319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 37902 (Tennessee) | Primary |
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