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Laurie Evans Douglas

Hematology & Oncology

301 S 28th Ave
Hattiesburg , Mississippi 39401-7233

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Laurie Evans Douglas

Hematology & Oncology

301 S 28th Ave
Hattiesburg , Mississippi 39401-7233

(601) 579-5240

Write a Review Save Call

Laurie Evans Douglas

Hematology & Oncology

301 S 28th Ave
Hattiesburg , Mississippi 39401-7233

(601) 579-5240 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Hematology & Oncology

Languages spoken

  • English

Location

301 S 28th Ave Hattiesburg , Mississippi 39401-7233

First Address

  • Laurie Evans Douglas
  • 415 S 28th Ave
  • Hattiesburg, MS
  • Zip : 39401-7246
  • Fax : (601) 579-5240
  • Phone : (601) 261-1700

Second Address

  • Laurie Evans Douglas
  • 301 S 28th Ave
  • Hattiesburg, MS
  • Zip : 39401-7233
  • Fax : (601) 288-8290
  • Phone : (601) 261-1700

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FAQs


Where did Laurie Evans Douglas attend graduate school?

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Where did Laurie Evans Douglas do her residency?

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Where did Laurie Evans Douglas do her fellowship?

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Is Laurie Evans Douglas board certified?

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What type of doctor is Laurie Evans Douglas

Hematology & Oncology

In what state does Laurie Evans Douglas practice in?

Mississippi

Where is Laurie Evans Douglas ’s practice located?

301 S 28th Ave , Hattiesburg, Mississippi, 39401-7233

What is Laurie Evans Douglas ’s gender?

Female

Is Laurie Evans Douglas a sole practitioner?

No

Is Laurie Evans Douglas accepting new patients?

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What languages does Laurie Evans Douglas speak?

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Does Laurie Evans Douglas accept insurance?

Yes, Laurie Evans Douglas accepts insurance

Does Laurie Evans Douglas offers telemedicine?

Laurie Evans Douglas has not indicated if she offers telemedicine

What is Laurie Evans Douglas ’s professional license number?

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What is Laurie Evans Douglas ’s NPI number?

1013173590

Does Laurie Evans Douglas have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207RH0003X Hematology & Oncology 23948 MS

National Provider Identifier

NPI 1013173590
Provider Name Laurie Evans Douglas
First Address Hattiesburg, MS 39401-7246
Second Address Hattiesburg, MS 39401-7233
Gender F
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 04/08/2008
Last Update Date 09/07/2020

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
00324314 (05) MS
10131735900 (05) NC
10131735900 TRICARE (01) NC
10131735900 UHC (01) NC
187RG BCBS (01) NC
Q94015 SC MEDICAID (01) NC

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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