Individual
MR. WILLIAM L DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
615 S HANSELL ST, THOMASVILLE, GA 31792-5556
(229) 226-2234
(229) 226-2237
Mailing address
615 S HANSELL ST, THOMASVILLE, GA 31792-5556
(229) 226-2234
(229) 226-2237
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002982
GA
Other
Enumeration date
08/29/2006
Last updated
08/26/2014
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