Individual
DR. RICHARD ALLEN DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10450 PARK RD, STE 200, CHARLOTTE, NC 28210-8505
(704) 541-9002
(704) 542-6701
Mailing address
10450 PARK RD, STE 200, CHARLOTTE, NC 28210-8505
(704) 541-9002
(704) 542-6701
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9300686
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8929076
—
NC
Enumeration date
10/24/2005
Last updated
08/17/2022
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