Dr. Douglas Edward Gorman JR.
Plastic Hand Surgeon Plastic and Reconstructive Surgery
1920 Chadwick Dr Suite 108
Jackson
, Mississippi 39204-3471
Dr. Douglas Edward Gorman JR.
Plastic Hand Surgeon Plastic and Reconstructive Surgery
1920 Chadwick Dr Suite 108
Jackson
, Mississippi 39204-3471
(601) 372-7431
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About
Features
Specialties
- Plastic Hand Surgeon
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Dr. Douglas Edward Gorman JR.
- 1920 Chadwick Dr Suite 108
- Jackson, MS
- Zip : 39204-3471
- Fax : (601) 372-7431
- Phone : (601) 373-3730
Second Address
- Dr. Douglas Edward Gorman JR.
- 1920 Chadwick Dr Suite 108
- Jackson, MS
- Zip : 39204-3471
- Fax : (601) 372-7431
- Phone : (601) 373-3730
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Is Dr. Douglas Edward Gorman JR. a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2082S0105X | Plastic Hand Surgeon | 08261 | MS |
| Y | 2086S0122X | Plastic and Reconstructive Surgery | 08261 | MS |
National Provider Identifier
| NPI | 1699856419 |
|---|---|
| Provider Name | Dr. Douglas Edward Gorman JR. |
| First Address | Jackson, MS 39204-3471 |
| Second Address | Jackson, MS 39204-3471 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/10/2006 |
| Last Update Date | 06/07/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00010048 | (05) | MS |
| 640650720 | CORP TAX ID (01) | MS |
| B65897 | (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.