Individual
EMMA DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
90 PENINSULA CIR, NEWNAN, GA 30263-7024
(704) 302-5765
Mailing address
90 PENINSULA CIR, NEWNAN, GA 30263-7024
(704) 302-5765
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/16/2024
Last updated
11/20/2024
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