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Individual

DR. DAVID DOUGHERTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1720 NICHOLASVILLE RD STE 602, LEXINGTON, KY 40503-1488
(859) 277-4005
(859) 278-2507
Mailing address
1161 21ST AVE S, NASHVILLE, TN 37232-2605
(615) 322-2035
(615) 343-6160

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
50868
KY
207RI0200X
Infectious Disease Physician
55687
TN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/30/2013
Last updated
09/26/2018
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