Individual
LOUIS EUGENE DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 HAWTHORNE LN, CHARLOTTE, NC 28204-2515
(704) 384-4021
(704) 384-5601
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-4021
(704) 384-5601
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2016-02445
NC
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
2016-02445
NC
208M00000X
Hospitalist Physician
2016-02445
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02971924
—
NY
Enumeration date
08/24/2005
Last updated
08/01/2023
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