Provider Demographics
NPI:1972120772
Name:MASINI, DOUGLAS EUGENE (RRT-ACCS, AE-C)
Entity type:Individual
Prefix:MR
First Name:DOUGLAS
Middle Name:EUGENE
Last Name:MASINI
Suffix:
Gender:M
Credentials:RRT-ACCS, AE-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:226 CARLISLE WAY
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31419-6606
Mailing Address - Country:US
Mailing Address - Phone:912-547-8997
Mailing Address - Fax:
Practice Address - Street 1:105 SPANISH CT
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31707-1282
Practice Address - Country:US
Practice Address - Phone:912-547-8997
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-29
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA77112279E1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279E1000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredEducational