Organization
JON H. DOCHERTY, MD
Active
Other names
Pee Dee Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON H DOCHERTY SR. M.D. (OWNER)
(843) 667-8561
Entity
Organization
Contact information
Practice address
514 S DARGAN ST, SUITE G, FLORENCE, SC 29506-2552
(843) 667-8561
(843) 673-0206
Mailing address
514 S DARGAN ST, SUITE G, FLORENCE, SC 29506-2552
(843) 667-8561
(843) 673-0206
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
077552
—
SC
Enumeration date
06/07/2006
Last updated
08/22/2020
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