Individual
DR. TERRENCE J DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
520 RIVERGATE PARKWAY, GOODLETTSVILLE, TN 37072-2030
(615) 859-3937
(615) 859-3919
Mailing address
520 RIVERGATE PARKWAY, GOODLETTSVILLE, TN 37072-2030
(615) 859-3937
(615) 859-3919
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
MD0000042489
TN
207W00000X
Ophthalmology Physician
Primary
MD42489
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3000545
—
TN
Enumeration date
07/12/2006
Last updated
04/04/2016
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