| Deirdre Dolan Douglass, PT | |
|
586 Clubland Cir Se, Conyers, GA 30094-3626 | |
| (770) 785-7908 | |
| (770) 785-7908 |
| Full Name | Deirdre Dolan Douglass |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist - Pediatrics |
| Location | 586 Clubland Cir Se, Conyers, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598825747 | NPI | - | NPPES |
| 322094 | Medicaid | GA | |
| 000711763B | Medicaid | GA | |
| 10057878 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251P0200X | Physical Therapist - Pediatrics | PT003272 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Deirdre Dolan Douglass, PT 586 Clubland Cir Se, Conyers, GA 30094-3626 Ph: (770) 785-7908 | Deirdre Dolan Douglass, PT 586 Clubland Cir Se, Conyers, GA 30094-3626 Ph: (770) 785-7908 |
Stevi Denise Wheeler, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1820 Highway 20 Se Ste 146, Conyers, GA 30013 Phone: 770-929-8872 Fax: 770-929-8890 | |
Kenyata B Holton, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1157b West Ave Sw, Conyers, GA 30012 Phone: 770-922-2420 | |
Brian Jung Hyun Shin, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1820 Highway 20 Se, Ste 146, Conyers, GA 30013 Phone: 770-929-8872 Fax: 770-929-8890 | |
Dr. Joshua Michael Brown, DPT, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 875 Flat Shoals Rd Se, #160, Conyers, GA 30094 Phone: 770-785-7669 | |
Mr. Brian N Conton, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 923 Commercial St Ne, Conyers, GA 30012 Phone: 404-427-7413 Fax: 770-760-8870 | |
Kareem David Pierre, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2395 Wall St Se Ste 176, Conyers, GA 30013 Phone: 770-679-1553 | |
Gary E Woodham, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1603 Highway 20 Ne, Suite 201, Conyers, GA 30012 Phone: 770-929-8411 |