Individual
DR. ANDREW DOUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3333 JODECO RD, MCDONOUGH, GA 30253-5319
(770) 692-4000
(770) 474-8510
Mailing address
3333 JODECO RD STE A, MCDONOUGH, GA 30253-5371
(770) 692-4000
(770) 474-8510
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
056818
GA
207RC0000X
Cardiovascular Disease Physician
Primary
056818
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
771350663A
—
GA
Enumeration date
07/15/2007
Last updated
05/23/2023
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