Dr. Douglas Clinton Leavengood
Allergist & Immunologist
2561 Pass Rd Suite D
Biloxi
, Mississippi 39531-2125
Dr. Douglas Clinton Leavengood
Allergist & Immunologist
2561 Pass Rd Suite D
Biloxi
, Mississippi 39531-2125
(228) 388-7743
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About
Features
Specialties
- Allergist & Immunologist
Languages spoken
- English
Location
First Address
- Dr. Douglas Clinton Leavengood
- 2561 Pass Rd Suite D
- Biloxi, MS
- Zip : 39531-2125
- Phone : (228) 388-7743
Second Address
- Dr. Douglas Clinton Leavengood
- 2561 Pass Rd Suite D
- Biloxi, MS
- Zip : 39531-2125
- Phone : (228) 388-7743
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207K00000X | Allergist & Immunologist | 11243 | MS |
National Provider Identifier
| NPI | 1194900167 |
|---|---|
| Provider Name | Dr. Douglas Clinton Leavengood |
| First Address | Biloxi, MS 39531-2125 |
| Second Address | Biloxi, MS 39531-2125 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/01/2008 |
| Last Update Date | 08/01/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00110476 | (05) | MS |
| B31067 | (02) | MS |
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.