Individual
PHILIP V DAUGHERTY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
455 N HIGHLAND PARK AVE, CHATTANOOGA, TN 37404
(423) 209-6070
(423) 209-6071
Mailing address
4976 ALPHA LN, HIXSON, TN 37343-5470
(423) 308-0280
(423) 308-0281
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17556
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q029107
—
TN
Enumeration date
09/20/2005
Last updated
07/18/2018
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