DR. GEORGE WOODWARD DOUGLASS M.D. NPI 1972538361

NPI Information

NPI: 1972538361
Provider Name: DR. GEORGE WOODWARD DOUGLASS, M.D.
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

PECOS Registration: Yes

Address:
4969 CENTRE POINTE DRIVE
SUITE 100
NORTH CHARLESTON, SC
ZIP 29418
Phone: (843) 745-7192
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DR. George Woodward Douglass, M.D. is a cardiovascular disease internal medicine in North Charleston, SC. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. George Woodward Douglass, M.D. NPI is 1972538361. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4969 CENTRE POINTE DRIVE
SUITE 100
NORTH CHARLESTON, SC
ZIP 29418
Phone: (843) 745-7192
Fax: (843) 745-7193

The NPI 1972538361 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/12/2006 and was last updated on 4/16/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	5064	SOUTH CAROLINA	Yes
2	207RI0011X	Internal Medicine	Interventional Cardiology	5064	SOUTH CAROLINA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	GP4093	OTHER		MEDICAID GROUP
2	CH8347	OTHER	SOUTH CAROLINA	RAILROAD MEDICARE GROUP
3	P00276751	OTHER	SOUTH CAROLINA	RAILROAD MEDICARE PIN
4	050642	MEDICAID	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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