Doctor Name: | MR. DOUGLAS JAMES MACKAY |
NPI Number: | 1144358904 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ATC |
License Number: | AT000641 |
Business Practice Address: | 611 W Smith St Claxton, GA - 304171851 |
Business Phone Number: | 9127393373 |
Business Fax Number: | |
Mailing Address: | 611 W Smith St, CLAXTON |
State: | GA |
Postal Code: | 304171851 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/01/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225400000X |
License Number: | AT000641 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Rehabilitation Practitioner |
Taxonomy Specialization: | |
Taxonomy Definition: | A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |