Individual
SAVANNAH CHANTAE DOUGHTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1201 E WADE WATTS AVE, MCALESTER, OK 74501-5655
(918) 794-6008
Mailing address
1201 E WADE WATTS AVE, MCALESTER, OK 74501-5655
(918) 794-6008
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
101472
OK
Other
Enumeration date
08/14/2019
Last updated
04/02/2021
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