Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mazie Douglas

Individual provider Adult Care Home Facility · NPI 1124882428

Mazie Douglas is an Adult Care Home Facility in Lithonia, Georgia. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

1918 Panola Rd
Lithonia, GA 30058-5520
Phone: (404) 597-2203
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Agency (primary) Taxonomy 251E00000X
Adult Care Home Facility Taxonomy 311ZA0620X

Record details

NPI number1124882428
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 8, 2024
Last updated in NPPESFebruary 8, 2024
Certification dateFebruary 8, 2024
Mailing address1918 Panola Rd, Lithonia, GA 30058-5520

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