J. TODD DOUGLAS, MD, PSC
Nursing at Ohio St, Provo, KY

License number
Kentucky 34188
Category
Osteopathic Medicine
Type
Family Medicine
License number
Kentucky 7100116510
Category
Nursing
Type
Family
Owner
Name: DR. JAMES TODD DOUGLAS MD
Title: PRESIDENT/OWNER
Phone: (270) 526-2772
Address
Address
205 E Ohio St, Provo, KY 42261
National Provider ID: 1427165869
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about J. TODD DOUGLAS, MD, PSC at bizstanding.com

J. TODD DOUGLAS, M.D., P.S.C

PO Box 1367, Morgantown, KY 42261

Status:
Inactive
Registration:
Jun 24, 1998
State ID:
0458391
Business type:
Kentucky Professional Services Corp
Incorporators:
J Todd Douglas (Sole Officer),E. Ward Begley Ii (Incorporator)
Agent:
J. Todd Douglas, M.d,208 E Ohio St, Morgantown, KY 42261 (Physical)

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