Individual
JULIE DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 PHILLIPS RD, TALLAHASSEE, FL 32308-5304
(850) 878-4127
Mailing address
1485 WAUKEENAH HWY, MONTICELLO, FL 32344-0326
(850) 294-0735
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
44954
FL
2471S1302X
Sonography Radiologic Technologist
Primary
—
—
Other
Enumeration date
02/10/2018
Last updated
02/10/2018
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