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Individual

EMILY H DOUGHERTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
400 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-6035
(423) 431-6111
Mailing address
1009 NOVUS DR STE 2, JOHNSON CITY, TN 37604-8237
(423) 283-0776
(423) 283-0549

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN14776
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1518377
TN
Enumeration date
02/26/2010
Last updated
07/27/2021
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