NPI 1144358904

Douglas James Mackay, ATC

Practitioner Rehabilitation Practitioner Claxton, GA

Practice location

Address: 611 W Smith St, Claxton, GA 30417-1851
Phone: (912) 739-3373

Registered specialties

Rehabilitation Practitioner Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X Licence AT000641 (GA)

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Registry record

NPI: 1144358904
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Mar 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.