Individual
EMILY S DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4348 ELECTRIC RD, ROANOKE, VA 24018-0720
(540) 769-0976
(540) 857-5390
Mailing address
102 HIGHLAND AVE SE, SUITE 104, ROANOKE, VA 24013-2256
(540) 985-8147
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
0101239245
VA
208000000X
Pediatrics Physician
Primary
0101239245
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010298423
—
VA
Enumeration date
07/20/2006
Last updated
11/02/2021
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