Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 0102204560 | VA |
Y | 2081P2900X | Pain Medicine | 0102204560 | VA |
NPI | 1326331885 |
---|---|
Provider Name | Dr. Douglas D. Dean |
First Address | Columbia, SC 29209-1638 |
Second Address | Columbia, SC 29209-1638 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2011 |
Last Update Date | 21/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1326331885 | (05) | NC |
1326331885 | (05) | VA |
1326331885 | AETNA (01) | VA |
1326331885 | ANTHEM BC/BS (01) | VA |
1326331885 | CIGNA (01) | VA |
1326331885 | CORVEL (01) | VA |
1326331885 | COVENTRY HEALTH CARE (01) | VA |
1326331885 | HUMANA (01) | VA |
1326331885 | MULTIPLAN (01) | VA |
1326331885 | OPTIMA HEALTH (01) | VA |
1326331885 | TRICARE/CHAMPUS (01) | VA |
1326331885 | UNITED HEALTHCARE (01) | VA |
1326331885 | USA MANAGED CARE (01) | VA |
1326331885 | VIRGINIA HEALTH NETWORK (01) | VA |
1326331885 | VIRGINIA PREMIER HEALTH PLAN (01) | VA |