SearchGeorgia156FX1800X

Michael Doucette, LDO

NPI 1275305708 · on the registry since 2023

Practice

Address
180 Toccoa Ct
Ellijay, GA 30540
Phone
(770) 402-1175
Organisation at this address
Blue Ridge Vision, Inc.
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
156FX1800X
156FX1800X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-10-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia