Charles Jacob Douchy
Dermatologist Dermatopathologist Procedural Dermatology
3850 Pleasant Hill Rd
Duluth
, Georgia 30096-4807
Charles Jacob Douchy
Dermatologist Dermatopathologist Procedural Dermatology
3850 Pleasant Hill Rd
Duluth
, Georgia 30096-4807
(678) 205-5111
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About
Features
Specialties
- Dermatologist
- Dermatopathologist
- Procedural Dermatology
Languages spoken
- English
Location
First Address
- Charles Jacob Douchy
- 3850 Pleasant Hill Rd
- Duluth, GA
- Zip : 30096-4807
- Fax : (678) 205-5111
- Phone : (770) 814-8222
Second Address
- Charles Jacob Douchy
- 3850 Pleasant Hill Rd
- Duluth, GA
- Zip : 30096-4807
- Fax : (678) 205-5111
- Phone : (770) 814-8222
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FAQs
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Is Charles Jacob Douchy a sole practitioner?
Is Charles Jacob Douchy accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 040052 | GA |
| N | 207ND0900X | Dermatopathologist | 040052 | GA |
| N | 207NS0135X | Procedural Dermatology | 040052 | GA |
National Provider Identifier
| NPI | 1003808361 |
|---|---|
| Provider Name | Charles Jacob Douchy |
| First Address | Duluth, GA 30096-4807 |
| Second Address | Duluth, GA 30096-4807 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/08/2005 |
| Last Update Date | 02/10/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000663396E | (05) | GA |
| 000663396F | (05) | GA |
| 00663396B | (05) | GA |
| 070014632 | RR MEDICARE (01) | GA |
| 2498075 | AETNA (01) | GA |
| 912915 | BCBS (01) | GA |
| F39278 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.