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Individual
RYAN PATRICK DOGGETT
Active
Individual
RYAN PATRICK DOGGETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-06252
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125566345
MEDICAID
NC
01
—
200XW
BCSB NC
NC
01
—
4129896
CIGNA
NC
01
—
CS2503400868
CARESOURCE
NC
01
—
NN5544A
MEDICARE
NC
Enumeration date
05/19/2009
Last updated
04/14/2025
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