Most Relevant Information
Provider Data
| NPI Number: | 1003808361 |
| Provider Name: | CHARLES JACOB DOUCHY M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207N00000X |
| Specialty: | Dermatology |
| License Number: | 040052 |
Most Important Dates
| Enumeration Date: | 08/22/2005 |
| Last Updated: | 10/02/2015 |
Provider Practice Location
3850 PLEASANT HILL RD
DULUTH
GA
300964807
Practice Location Phone/Fax
| Phone: | 7708148222 |
| Fax: | 6782055111 |
Provider Mailing Location
3850 PLEASANT HILL RD
DULUTH
GA
300964807
Provider Mailing Phone/Fax
| Phone: | 7708148222 |
| Fax: | 6782055111 |