Individual
STACY D. DOUGHERTY-WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
315 BOULEVARD NE, STE 500, ATLANTA, GA 30312-1212
(404) 265-3635
(404) 265-3634
Mailing address
315 BOULEVARD NE, STE 500, ATLANTA, GA 30312-1212
(404) 265-3635
(404) 265-3634
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
157387
NC
208600000X
Surgery Physician
Primary
69797
GA
Other
Enumeration date
06/05/2009
Last updated
10/03/2019
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