Individual
RAY SCOTT DAUGHERTY JR.
Active
Individual
RAY SCOTT DAUGHERTY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
205766
LA
208600000X
Surgery Physician
54562
TN
208C00000X
Colon & Rectal Surgery Physician
Primary
205766
LA
208C00000X
Colon & Rectal Surgery Physician
54562
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08603276
—
MS
05
—
216071001
—
AR
01
—
6082717
BCBS
TN
05
—
Q023627
—
TN
Enumeration date
03/19/2010
Last updated
04/18/2018
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