Individual
REGAN B DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 667-7360
Mailing address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(704) 616-3350
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
354096
NC
Other
Enumeration date
04/16/2026
Last updated
04/16/2026
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