Individual
DR. AMBER LYN DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1330 COSHOCTON AVE, MOUNT VERONO, OH 43050
(740) 393-9000
(740) 392-0167
Mailing address
1330 COSHOCTON AVE, MOUNT VERONO, OH 43050
(740) 393-9000
(740) 392-0167
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.095036
OH
207Q00000X
Family Medicine Physician
35095036
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H016920
MEDICARE PTAN
OH
Enumeration date
11/21/2008
Last updated
02/24/2021
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