Individual
MATTHEW DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1313 21ST AVE S, 703 OXFORD HOUSE, NASHVILLE, TN 37232-4700
(615) 936-1160
Mailing address
1313 21ST AVE S, 703 OXFORD HOUSE, NASHVILLE, TN 37232-4700
(615) 936-1160
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD0000056949
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/25/2016
Last updated
02/16/2019
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