# MY ADULT DOCTOR, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194657023
- **Authorized official:** ERIC DOHERTY (CEO)
- **Authorized official phone:** (678) 448-6776

## Contact information

- **Practice address:** 8350 ARROWRIDGE BLVD STE 1A-9, CHARLOTTE, NC 28273-5755
- **Practice address phone:** (678) 448-6776
- **Mailing address:** 8350 ARROWRIDGE BLVD STE 1A-9, CHARLOTTE, NC 28273-5755
- **Mailing address phone:** (678) 448-6776

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/03/2026
- **Last updated:** 06/09/2026