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Individual

DR. HARRY KARRICK DAUGHERTY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5301 VIRGINIA WAY, SUITE 300, BRENTWOOD, TN 37027-7541
(615) 221-4474
(615) 234-3774
Mailing address
5301 VIRGINIA WAY, SUITE 300, BRENTWOOD, TN 37027-7541
(615) 221-4474
(615) 234-3774

Taxonomy

Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
0101243107
VA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101243107
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PENDING
RAILROAD MEDICARE
05
PENDING
VA
Enumeration date
03/31/2006
Last updated
04/02/2012
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