Doctor Name: | DARRELL P DOUCETTE |
NPI Number: | 1932369287 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 33251 |
Business Practice Address: | 250 Chateau Dr Sw Suite 105 Huntsville, AL - 358013497 |
Business Phone Number: | 2568801977 |
Business Fax Number: | 2568806022 |
Mailing Address: | 250 Chateau Dr Sw, Suite 105 HUNTSVILLE |
State: | AL |
Postal Code: | 358016436 |
Phone Number: | 2568801977 |
Fax Number: | 2568806022 |
NPI Enumeration Date: | 06/11/2008 |
NPI Last Update Date: | 10/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 33251 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |