IndividualActive
Garrett Douglas
NPI 1477933745 · Acute Care Nurse Practitioner · Hattiesburg, MS
Provider details
- NPI number
- 1477933745
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 882599 (MS)
Practice location
415 S 28th Ave
Hattiesburg, MS 39401-7246
Phone: (601) 268-5650
Fax: (601) 579-5212
Mailing address
37 Good Hope Rd
Columbia, MS 39429-8914
Registry dates
- Enumerated
- 2015-06-02
- Last updated
- 2026-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.