Lindsay Joann Douglas, COTA/L
Individual provider Active NPI Specialist · Alamo, GA
NPI 1437498243 · NPPES record last updated Feb 14, 2013
Key facts
- NPI
- 1437498243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- OTA001420 (GA)
- Practice address
- 890 Springhill Church Rd
Alamo, GA 30411-3720 - Phone
- (229) 315-4403
- NPI assigned
- Feb 14, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTA001420 | GA | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | OTA001420 | GA | Yes |
Addresses
Primary practice location
890 Springhill Church Rd
Alamo, GA 30411-3720
Mailing address
890 Springhill Church Rd
Alamo, GA 30411-3720
Other providers in Alamo, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.