IndividualActive
Douglas Gorman, M.D.
NPI 1699856419 · Plastic and Reconstructive Surgery Physician · Jackson, MS
Provider details
- NPI number
- 1699856419
- Entity type
- Individual
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 08261 (MS)
Practice location
1920 Chadwick Dr
Suite 108
Jackson, MS 39204-3471
Phone: (601) 373-3730
Fax: (601) 372-7431
Mailing address
1920 Chadwick Dr
Jackson, MS 39204-3471
Registry dates
- Enumerated
- 2006-10-18
- Last updated
- 2010-07-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.