Individual
MICHAEL JAMES DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
200 PATEWWOD DRIVE, SUITE A200, GREENVILLE, SC 29615-3585
(864) 454-5125
(864) 241-9201
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
32324
SC
208000000X
Pediatrics Physician
M4041
TX
2080P0206X
Pediatric Gastroenterology Physician
Primary
32324
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
323242
—
SC
Enumeration date
09/22/2006
Last updated
03/23/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us