Provider Demographics
NPI:1881865103
Name:DOUGLAS, GILBERT FRANKLIN IV (DO)
Entity Type:Individual
Prefix:DR
First Name:GILBERT
Middle Name:FRANKLIN
Last Name:DOUGLAS
Suffix:IV
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 830230
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35283-0230
Mailing Address - Country:US
Mailing Address - Phone:205-250-6000
Mailing Address - Fax:205-250-6848
Practice Address - Street 1:2215 DECATUR HWY STE 117
Practice Address - Street 2:
Practice Address - City:GARDENDALE
Practice Address - State:AL
Practice Address - Zip Code:35071-2384
Practice Address - Country:US
Practice Address - Phone:205-971-3305
Practice Address - Fax:205-971-3306
Is Sole Proprietor?:No
Enumeration Date:2008-03-14
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ALDO990207R00000X
ALDO.990207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine